cheek reconstruction
Cheek is very special unit of face as all of its boundaries has vital units of face like eye, nose, lip and ear. Failure to reconstruct cheek will not only affect appearance of cheek but can also affect appearance of is surrounding units leading to more disfigurement.
Reconstruction of cheek is very important and is required when there is a defect either due to trauma, infection, birth defects or removal of lesion.
When there is loss of cheek tissue due to trauma, infection, removal of any lesion preset by birth or after removal of tumor from cheek, it leaves a defect which needs to be filled according to its size and depth. If not reconstructed properly it causes unsightly scar, depressions, and functional and cosmetic problems of structures around cheek.
Small defects less than 2 cm can be closed primarily. They are usually moles or skin cancer defects and are done under local anesthesia as day care procedure.
Large superficial defects can be re surfaced with skin grafts and deep lesion with loco regional flap or free flap. These surgeries require hospitalization of 4-5 days and more complex defects require even longer stay and monitoring.
Common flaps used are cheek advancement flap when tissue from lateral cheek is advanced to cover defect on medial side. Ad cervicofacial flap when tissue from cheek and neck is used for reconstruction.
Some of the defects of cheek are reconstructed with placement of tissue expander in neck to achieve more tissue. Tissue expander is like a balloon which is placed under skin in deflated position and then inflated to expand the tissue and in this way more tissue is achieved for large defects.
In how many days wounds are healed after reconstruction with flaps
Wounds are usually healed in 2 weeks
What is a Cervicofacial flap?
The cervicofacial flap is a rotational and advancement flap with random blood supply utilized to close moderate- to large-sized defects of the cheek. Subcutaneous dissection of the cervical region allows for a large amount of tissue mobilization.(copied from google)
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