Pushing the Limits in Cheek Reconstruction: The Sub-Superficial Musculo-Aponeurotic System 'Deep Plane' Cervicofacial Flap for Reconstruction of Large Eyelid-Cheek Junction Defects
| Autor: | Chad A. Purnell, Jonathan T Bricker, Mohammed S Alghoul |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Cervicofacial flap Dissection (medical) Surgical Flaps Cancer resection Young Adult 03 medical and health sciences 0302 clinical medicine Vascularity medicine Humans Lower lid retraction 030223 otorhinolaryngology Aged Cheek reconstruction business.industry Eyelids 030206 dentistry General Medicine Middle Aged Plastic Surgery Procedures Cheek medicine.disease eye diseases Superficial Musculoaponeurotic System Surgery body regions medicine.anatomical_structure Otorhinolaryngology Female Eyelid medicine.symptom business Bone Plates |
| Zdroj: | Journal of Craniofacial Surgery. 31:1861-1864 |
| ISSN: | 1536-3732 1049-2275 |
| DOI: | 10.1097/scs.0000000000006500 |
| Popis: | The cervicofacial flap is a workhorse flap for reconstruction of moderate to large sized defects of the cheek. Defects that involve the eyelid-cheek junction are often the most challenging of these. While the ideal plane of dissection has been debated, it is our belief that dissection in the sub-superficial musculo-aponeurotic system (SMAS) plane provides better aesthetic and functional outcomes due to enhanced vascularity, fascial support, and additional bulk of the flap itself. The authors present a series of 9 patients who presented with heterogeneous defects of the eyelid-cheek junction after cancer resection and underwent reconstruction using a sub-SMAS cervicofacial flap. At a mean follow-up time of 20 months, the cohort had 2 patients who developed lower lid retraction requiring revision and 2 other minor complications. This series lends support to the versatility and reliability of the sub-SMAS cervicofacial flap for large defects of the eyelid-cheek junction. |
| Databáze: | OpenAIRE |
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