Reconstruction of full-thickness defects of the cheek

Six patients required reconstruction of full-thickness defects of the cheek and underlying maxilla. We preferred to use a technique employing local cervicofacial rotation advancement flaps. The advantages of this technique include an excellent color match and placement of the line of closure in natural junction zones of the face. Problems that must be dealt with include correction of ectropion and revision of the lower portion of the nose. An alternative means of reconstruction consists of prosthetic management and the use of a regional pedicle flap. Careful monitoring of the soft-tissue margins, evaluation for possible cranial nerve involvement, and the use of postoperative irradiation therapy are important therapeutic considerations.