AESTHETIC OUTCOME OF SLIDING ISLAND FLAP FOR RECONSTRUCTION OF CHEEK AFTER TUMOUR ABLATION

Authors

  • Hidayat ullah
  • Obaid ullah
  • Mohammad Asif
  • Mohammad Tahir
  • Mohammad Aslam

Abstract

Background: Skin cancer is the most common malignancy in humans and the incidence continuesto rise. Facial reconstruction after cutaneous tumour ablation is a challenging job and needsthorough knowledge of the anatomy and physiology of face skin, biomechanics of skin andmuscles, design of local flaps and their blood supply. The objective of this study was to report theaesthetic results of sliding island flap on the cheek. Methods: This study was carried in thedepartment of Plastic and Reconstructive Surgery Postgraduate Medical Institute HayatabadMedical Complex Peshawar from March 2001 to February 2004. Forty patients with age 50-70years having Basal Cell Carcinoma on infraorbital and malar area of the cheek were taken for thestudy. Tumors were excised with safe margins and defects restored with sliding island flap. Thisflap is based on subcutaneous vertical pedicle that vascularizes the skin island through sub dermalplexus. Patients were regularly followed up with preoperative and postoperative photography.Final aesthetic results were analyzed after six months. Results: Good symmetry of cheek wasachieved. There was no noticeable scarring. Flap necrosis was not seen in any patient. Only onepatient had mild ectropion of the lower eyelid (2.5%) that did not need any revisional surgery.Conclusions: Relatively bigger defects of the cheek can be easily covered with this flap withpreservation of cosmesis and without any distortion in the symmetry of the face.KEY WORDS: Cheek, Tumour, Reconstruction, Sliding island flap.

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