CERVICOFACIAL ROTATION ADVANCEMENT FLAP IN CHEEK RECONSTRUCTION
Introduction: The Cervicofacial rotation advancement flap CRAF is a random-pattern flap that provides an excellent match for cheek reconstruction. In this report, the authors review their experience with this flap and present their advantages in order to expand the awareness and promote the application.
Methods: A retrospective analysis of reconstruction of cheek defects using CRAF was performed in 12 patients. Data on patient demographics; diagnosis, defect type, and outcome were collected.
Results: These patients included 07 male and 05 female; they ranged in age from 56 to 88 years, with a mean age of 67 years.05 patients used tobacco and one patient had a history of radiation. On histopathological examinations of the specimen, 03patients had squamous cell carcinoma, and 09 patients had basal cell carcinoma. The mean defect size was 40cm2[range 10 to 67cm2].
The mean follow-up was 06 months [0 to 24 months]. One patient was lost to follow-up after suture removal. As complication 01 patient had flap necrosis No facial nerve injury was observed. All patients were pleased with the Cosmetic results outcome.
Conclusion : Cervicofacial flap provides a technically simple, reliable, safe, efficient and cosmetic means to reconstruct defects of the cheek.
Mustardé JC. Repair and reconstruction in the orbital region. A practical guide. Edinburgh (UK): E & S Livingstone; 1966. p. 117.
Converse JM. Reconstructive plastic surgery. Philadelphia: WB Saunders; 1977. p. 1586.
Kaplan I, Goldwyn RM: The versatility of the laterally based cervicofacial flap for cheek repairs. Plast Reconstr Surg 1978, 61:390-393.
Juri J, Juri C. Advancement and rotation of a large cervicofacial flap for cheek repairs. Plast Reconstr Surg 1979; 64(5):692–6.
Juri J, Juri C. Cheek reconstruction with advancement-rotation flaps. Clin Plast Surg 1981; 8(2):223–6.
Stark RB, Kaplan JM. Rotation flaps, neck to cheek.Plast Reconstr Surg 1972; 50(3):230–3.
Mureau MA, Hofer SO: Maximizing results in reconstruction of cheek defects. Clin Plast Surg 36:461, 2009
Delay E, Lucas R, Jorquera F, et al. Composite cervicofacial flap for reconstruction of complex cheek defects. Ann Plast Surg 1999; 43(4):347–53.
Menick FJ. Reconstruction of the cheek. Plast Reconstr Surg 2001; 108(2):496–505.
Whetzel TP, Stevenson TR. The contribution of the SMAS to the blood supply in the lateral face lift flap.Plast Reconstr Surg 1997; 100:1011 –8.
Pepper JP, Baker SR: Local flaps: Cheek and lip reconstruction.JAMA Facial Plast Surg 15:374, 2013.
Boutros S, Zide BM. Cheek and eyelid reconstruction: the resurrection of the angle rotation flap. Plast Reconstr Surg 2005; 116(5):1425–30.
Cook TA, Israel JM, Wang TD, Murakami CS, and Brownrigg PJ: Cervical rotation flaps for midface resurfacing. Arch Otolaryngology Head Neck Surg 1991, 117:77-82.
Sakellariou A, Salama A. The Use of Cervicofacial Flap in Maxillofacial Reconstruction. Oral Maxillofac Surg Clin North Am. 2014 Aug; 26(3):389-400. PMID:24980990
Belmahi A, Oufkir A, Bron T, et al. Reconstruction of cheek skin defects by the ‘Yin-Yang’ rotation of the Mustarde´ flap and the temporoparietal scalp.J Plast Reconstr Aesthet Surg 2009; 62(4):506–9.
D’Arpa S, Cordova A, Pirrello R, et al. The face lift SMAS plication flap for reconstruction of large temporofrontal defects: reconstructive surgery meets cosmetic surgery. Plast Reconstr Surg 2011; 127(5):2068–75.
Rabey N, Abood A, Gillespie P, et al. Reconstruction of complex orbital exenteration defects. Ann Plast Surg 2013.
Cuesta-Gil M, Concejo C, Acero J, et al. Repair of large orbito-cutaneous defects by combining two classical flaps. J Craniomaxillofac Surg 2004;32(1):
Helman JI. The cervicofacial flap in facial reconstruction.Oral Maxillofac Surg Clin North Am 2003; 15(4):551–7.
Bianchi B, Ferri A, Ferrari S, et al. Free and locoregional flap associations in the reconstruction of extensive head and neck defects. Int J Oral Maxillofac Surg 2008; 37(8):723–9.
Liu et al.: The versatile application of cervicofacial and cervicothoracic rotation flaps in head and neck surgery. World Journal of Surgical Oncology 2011 9:135.
Rapstine ED, Knaus WJ, Thornton JF. Simplifying cheek reconstruction. Plast Reconstr Surg 2012; 129(6):1291–9.
Jacono AA, Rousso JJ, Lavin TJ. Comparing rates of distal edge necrosis in deep-plane vs subcutaneous cervicofacial rotation-advancement flaps for facial cutaneous Mohs defects. JAMA Facial Plast Surg 2014;16(1):31.
Moore BA, Wine T, Netterville JL. Cervicofacial and cervicothoracic rotation flaps in head and neck reconstruction. Head Neck 2005;27(12):1092–101.
Tan ST, Mackinnon CA. Deep plane cervicofacial flap: a useful and versatile technique in head and neck surgery. Head Neck 2006;28(1):46–55.
Austen WG, Parrett BM, Taghinia A, et al. The subcutaneous cervicofacial flap revisited. Ann Plast Surg 2009;62(2):149–53.
AlShetawi AH, Quimby A, Fernandes R. The Cervicofacial Flap in Cheek Reconstruction: A Guide for Flap Design. J Oral Maxillofac Surg. 2017 Dec;75(12):2708.e1-2708.e6.
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