Pushing the Limits in Cheek Reconstruction: The Sub-Superficial Musculo-Aponeurotic System "Deep Plane" Cervicofacial Flap for Reconstruction of Large Eyelid-Cheek Junction Defects. Issue 7 (October 2020)

• Record Type: Journal Article
• Authors: Purnell, Chad A.; Bricker, Jonathan T.; Alghoul, Mohammed S.
• Is Part Of: Journal of craniofacial surgery. Volume 31:Issue 7(2020)
• Publication Date: 2020-10
• Subjects: Cervicofacial flap -- cheek reconstruction -- deep plane -- eyelid reconstruction -- skin cancer reconstruction -- sub-SMAS; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000006500
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: 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. Abstract : Supplemental Digital Content is available in the text