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Deep-plane cervicofacial "hike": anatomic basis with dog-ear blepharoplasty
M T Longaker1, P M Glat, B M Zide
1Institute of Reconstructive Plastic Surgery, New York University Medical Center, USA.
Plastic and Reconstructive Surgery
|January 1, 1997
Summary
This study introduces the deep-plane "hike" flap, a novel technique for reconstructing sun-damaged facial areas after skin cancer removal. It offers improved blood flow and reduced complications like ectropion.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Temporal and cheek areas are highly susceptible to sun damage and skin cancers.
- Rotation-advancement flaps are common for reconstruction but have drawbacks like unpredictable perfusion and ectropion.
- Existing cervicofacial flaps have limitations including distal flap tip loss and cheek dog-ears.
Observation:
- Deep-plane cheek flap dissection, used in rhytidectomy, can address standard cervicofacial flap drawbacks.
- A vertical
- hike
- deep-plane approach improves flap perfusion and mobility.
- Cadaver studies informed the deep-plane dissection and vertical cheek advancement technique.
Findings:
- The deep-plane
- hike
- flap offers superior perfusion and mobility compared to traditional flaps.
- A horizontally oriented dog-ear is removed, similar to blepharoplasty.
- Deep flap fixation to the periosteum prevents tension and ectropion, ensuring stability.
Implications:
- This single-stage deep-plane
- hike
- flap technique provides excellent cosmetic outcomes for facial reconstruction.
- It minimizes complications such as skin loss and ectropion.
- The technique does not compromise future reconstructive options.