Reconstruction of full-thickness cheek defects with a combination of temporalis
myofascial and cervicopectoral flaps. Case report
Maria LAZARIDOU, Ioannis TILAVERIDIS, Nikolaos LAZARIDIS, Ioannis DIMITRAKOPOULOS
Department of Oral and Maxillofacial Surgery. Dental School, Aristotle University of Thessaloniki, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2012) 2, 99-106
SUMMARY: The cheek is a vital structure that serves an important functional and aesthetic role. Full-thickness cheek defects pose a great challenge to the Oral and Maxillofacial Surgeon. Various reconstructive techniques have been proposed. Case report: The aim of this paper is to describe a case of a full-thickness defect of the cheek and the ipsilateral commissure which was reconstructed with a combination of a temporalis muscle flap and a rotational cervicopectoral flap. The temporalis muscle flap was used to provide intraoral lining and the cervicopectoral flap to cover the skin defect. Postoperatively, partial necrosis of the tip of the flap occurred but eventually the necrotic part of the flap healed secondarily without the need of a second operation. Conclusions: The combination of the temporalis muscle flap and the rotational cervicopectoral flap is a vital option for the reconstruction of large full-thickness cheek defects offering satisfactory aesthetic and functional results.
KEY WORDS: full-thickness cheek defects, temporalis muscle flap, cervicopectoral flap
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