Long-term outcome of the cheek advancement flap, a report of 41 cases

Abstract

The cheek advancement flap is a suitable technique for reconstruction of large cheek skin defects after excision of skin malignancies. However, patients should be informed that long-term complications, including ectropion, can occur. Additional follow-up might lead to an early detection of these late effects.

Cervicofacial flap for reconstruction of squamous cell carcinoma on the right cheek: A case report

“…As another complication, this surgery may cause blood flow disturbances in the skin around the auricle and the ear lobe. [10][11][12] Lim et al 13 reported that the incidence of complications in cervicofacial flap surgery was 7.1%. Additionally, desensitization of the earlobe may occur in cases where the great auricular nerve is damaged when the posterior ear is incised.…”

Modified Cervicofacial Flap for Large Cheek Defect Reconstruction under Local Anesthesia

“…The former depends on the rich subdermal plexus of vessels, and the later relies upon more reliable large perforator branches from facial and transverse facial arteries [12]. Commonly encountered complications with these flaps are distal flap edge necrosis, lower eyelid ectropion, and hematoma [13, 14]. The deep plane technique has reduced the rate of these postop sequelae.…”

Repair of Large Central Facial Defect Involving the Nasal Dorsum, Nasal Sidewall, Medial Canthus, and Glabella

“…In addition to the above-mentioned options, the nasal sidewall/cheek portion could be managed most simply by cheek advancement or rotation, lax cheek skin being an excellent reservoir for defects involving the medial cheek or nasal sidewall. 2 Thus, a cheek advancement flap was used for the closure of the inferior aspect of the defect, leaving only the deep medial canthal and upper nasal wounds remaining (Figure 2).…”