Cervicofacial Rotation Advancement Flap in Cheek Reconstruction
PDF

Keywords

Cervicofacial flap
Cheek defects
Platysma muscle
Reconstruction

Categories

How to Cite

1.
Hamama J, Khalfi L, Achbouk A, Fiqhi K, El Khatib K. Cervicofacial Rotation Advancement Flap in Cheek Reconstruction. Integr J Med Sci [Internet]. 2018 Feb. 3 [cited 2024 Nov. 19];5. Available from: https://mbmj.org/index.php/ijms/article/view/80

Abstract

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 outcome of the Cosmetic results.
Conclusion: Cervicofacial flap provides a technically simple, reliable, safe, efficient, and cosmetic means to reconstruct defects of the cheek.

https://doi.org/10.15342/ijms.v5ir.220
PDF

References

Mustardé, Clark J, Whitaker, Linton A. Repair and reconstruction in the orbital region. A practical guide. Plastic Recons Surg; 1981 May; 67(5): 962. [Accessed 28 Jun 2021]. Available from: https://journals.lww.com/plasreconsurg/citation/1981/05000/repair_and_reconstruction_in_the_orbital_region__a.24.aspx

Converse JM. Reconstructive plastic surgery. Philadelphia. WB Saunders; 1964: 1586.

Kaplan I, Goldwyn RM. The versatility of the laterally based cervicofacial flap for cheek repairs. Plast Reconstr Surg. 1978 Mar; 61(3):390-3. https://doi.org/10.1097/00006534-197803000-00013

Juri J, Juri C. Advancement and rotation of a large cervicofacial flap for cheek repairs. Plast Reconstr Surg. 1979 Nov; 64(5):692–6.[Accessed 28 June 2021]. Available from: https://journals.lww.com/plasreconsurg/citation/1979/11000/advancement_and_rotation_of_a_large_cervicofacial.15.aspx

Juri J, Jurt C. Cheek reconstruction with advancement-rotation flaps. Clin Plast Surg. 1981 Apr; 8(2):223–6. https://doi.org/10.1016/S0094-1298(20)30448-X

Stark RB, Kaplan JM. Rotation flaps, neck to cheek. Plast Reconstr Surg. 1972; 50(3):230–3. [Accessed 28 June 2021]. Available from : https://journals.lww.com/plasreconsurg/Citation/1972/09000/Rotation_Flaps,_Neck_To_Cheek.5.aspx

Mureau MA, Hofer SO. Maximizing results in reconstruction of cheek defects. Clin Plast Surg. 2009 Jul; 36(3):461-76. https://doi.org/10.1016/j.cps.2009.02.003

Delay E, Lucas R, Jorquera F, Payement G, Foyatier JL. Composite cervicofacial flap for reconstruction of complex cheek defects. Ann Plast Surg. 1999 Oct; 43(4):347–53. https://doi.org/10.1097/00000637-199910000-00001

Menick FJ. Reconstruction of the cheek. Plast Reconstr Surg. 2001; 108(2):496–505. [Accessed 28 June 2021]. Available from: https://www.drmenick.com/wpcontent/uploads/2012/06/Reconstruction_of_the_Cheek.33.pdf

Whetzel TP, Stevenson TR. The contribution of the SMAS to the blood supply in the lateral face lift flap. Plast Reconstr Surg. 1997 Sep; 100(4):1011-8. https://doi.org/10.1097/00006534-199709001-00027

Pepper JP, Baker SR. Local flaps: Cheek and lip reconstruction. JAMA Facial Plast Surg. Sep-Oct 2013; 15(5):374-82. https://doi.org/10.1001/jamafacial.2013.1608

Boutros S, Zide BM. Cheek and eyelid reconstruction: the resurrection of the angle rotation flap. Plast Reconstr Surg. 2005 Oct; 116(5):1425–30. https://doi.org/10.1097/01.prs.0000182399.45538.f9

Cook TA, Israel JM, Wang TD, Murakami CS, Brownrigg PJ. Cervical rotation flaps for midface resurfacing. Arch Otolaryngol Head Neck Surg. 1991 Jan; 117(1):77-82. https://doi.org/10.1001/archotol.1991.01870130083021

Sakellariou A, Salama A. The Use of Cervicofacial Flap in Maxillofacial Reconstruction. Oral Maxillofac Surg Clin North Am. 2014 Aug; 26(3):389-400. https://doi.org/10.1016/j.coms.2014.05.007

Belmahi A, Oufkir A, Bron T, Ouezzani S. Reconstruction of cheek skin defects by the ‘Yin-Yang’ rotation of the Mustarde ́ flap and the temporoparietal scalp. J Plast Reconstr Aesthet Surg. 2009 Apr; 62(4):506–9. https://doi.org/10.1016/j.bjps.2007.11.012

D’Arpa S, Cordova A, Pirrello R, ZAbbia G, Kalbermatten D, Moschella F. The face lift SMAS plication flap for reconstruction of large temporofrontal defects: reconstructive surgery meets cosmetic surgery. Plast Reconstr Surg. 2011 May; 127(5):2068–75. https://doi.org/10.1097/prs.0b013e31820e92a0

Rabey N, Abood A, Gillespie P, Athanassoglou V, Rene C, Malata CM. Reconstruction of complex orbital exenteration defects : a single center's experience with a five-year follow-up. Ann Plast Surg. 2014 Aug; 73(2): 158-63. https://doi.org/10.1097/sap.0b013e31826a1a56

Cuesta-Gil M, Concejo C, Acero J, Navarro-vila C, Ochandiano S. Repair of large orbito-cutaneous defects by combining two classical flaps. J Craniomaxillofac Surg. 2004 Feb ;32(1):21-7. https://doi.org/10.1016/j.jcms.2003.08.008

Helman JI. The cervicofacial flap in facial reconstruction. Oral Maxillofac Surg Clin North Am. 2003 Nov; 15(4):551–7. https://doi.org/10.1016/s1042-3699(03)00070-0

Bianchi B, Ferri A, Ferrari S, Copelli C, Poli T, Sesenna E. Free and locoregional flap associations in the reconstruction of extensive head and neck defects. Int J Oral Maxillofac Surg. 2008 Aug; 37(8):723–9. https://doi.org/10.1016/j.ijom.2008.05.004

Liu FY, Xu ZF, Li P, Sun CF, Li RW, Gi SF, et al. The versatile application of cervicofacial and cervicothoracic rotation flaps in head and neck surgery. World J Surg Oncol. 2011 Oct: 9:135. https://doi.org/10.1186/1477-7819-9-135

Rapstine ED, Knaus WJ, Thornton JF. Simplifying cheek reconstruction. Plast Reconstr Surg. 2012 Jun; 129(6):1291–9. https://doi.org/10.1097/prs.0b013e31824ecac7

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. Jan-Feb 2014;16(1):31. https://doi.org/10.1001/jamafacial.2013.20

Moore BA, Wine T, Netterville JL. Cervicofacial and cervicothoracic rotation flaps in head and neck reconstruction. Head Neck. 2005 Dec; 27(12):1092–101. https://doi.org/10.1002/hed.20252

Tan ST, Mackinnon CA. Deep plane cervicofacial flap: a useful and versatile technique in head and neck surgery. Head Neck. 2006 Jan; 28(1):46–55. https://doi.org/10.1002/hed.20317

Austen WG, Parrett BM, Taghinia A, Wolfort SF, Upton J. The subcutaneous cervicofacial flap revisited. Ann Plast Surg. 2009 Feb ;62(2):149–53. https://doi.org/10.1097/sap.0b013e31819354f5

Al Shetawi 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. https://doi.org/10.1016/j.joms.2017.08.006

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2018 Jalal Hamama et al.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...