Modified Fricke's Cheek Flap for Periorbital Reconstruction: A Regional Alternative to Forehead-Based Flaps

Area of Science:

• Plastic Surgery
• Oculoplastic Surgery
• Reconstructive Surgery

Background:

• Periorbital reconstruction is complex due to the intricate anatomy and functional demands of the eye.
• Traditional forehead flaps may cause eyebrow distortion and poor color match.
• The modified Fricke's cheek flap offers an alternative with improved mobility and aesthetics.

Purpose of the Study:

• To evaluate the modified Fricke's cheek flap for traumatic periorbital defects.
• Assess flap survival, functional outcomes, and aesthetic results.
• Analyze complications associated with this reconstructive technique.

Main Methods:

• Retrospective observational study of 20 male patients.
• Reconstruction performed using the modified Fricke's cheek flap.
• Data collected on demographics, defect characteristics, flap viability, and outcomes.

Main Results:

• 90% of injuries were from road traffic accidents.
• Complete flap survival in 90% of patients; 10% had partial flap necrosis managed conservatively.
• No infections or major complications; all patients achieved satisfactory eyelid closure and contour.

Conclusions:

• The modified Fricke's cheek flap is a reliable and versatile option for periorbital reconstruction.
• The technique demonstrates high flap survival and preserves eyelid function.
• Further comparative studies are needed to define its role against other reconstructive methods.