AESTHETIC OUTCOME OF SLIDING ISLAND FLAP FOR RECONSTRUCTION OF CHEEK AFTER TUMOUR ABLATION
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.References
Julia K, Padgett MD, John D, Hendrix,Jr, MD. Cutanous
malignancies and their management. Otolaryngol Clin North
Am 2001;34: 523-53.
Inigo F, Jimenez-Murat Y, Rojo P, Ysunza A.
Frontotemporal island flap for facial aesthetic subunit
reconstruction. J Craniofac Surg 1999;10: 330-6.
Wayne F, Larrabee Jr. Design of local skin flaps. Otolaryngol
Clin North Am 1999;23:899-923.
Kovcic M. Reconstruction of total lower lip,labial
commissure and palatomaxillary defect with composite
island cheek flap. Acta Med Croatica 2001;55(3):135-9.
Pallua N, Magnus Noah E. The tunneled supraclavicular
island flap: an optimized technique for head and neck
reconstruction. Plast Reconstr Surg 2000;105:842-51.
Pontes L, Ribeiro M, Vrancks JJ, Guimaraes J. The new
bilaterally Pedicled V-Y advancement flap for face
reconstruction. Plast Reconstr Surg 2002;109:1870-4.
Kalus R, Zamora S. Aesthetic consideration in facial
reconstructive surgery: the V-Y flap revisited. Plast Reconstr
Surg 1992;90:275-80.
Okazaki M, Haramoto U, Akizuki T, Kurakata M, Ohura N,
Ohmori K. Avoiding ectropion by using the Mitek Anchore
System for flap fixation to facial bones. Ann Plast Surg 1998;
:169-73.
Chan ST. A technique of undermining a V-Y subcutaneous
island flap to maximize advancement. Br J Plast Surg
;41:62-7.
Pribaz JJ, Chester CH, Barall DT. The extended V-Y flap.
Plas Reconstr Surg 1992;90:275.
Hudson DA, Quarmby C, Ndob E. A suture suspension
technique to prevent ectropion after flap transposition from
neck to face. Plast Reconstr Surg 2001;108:1692-5
Yildirim S, Akoz T, Akan M, Avci G. Nasolabial V-Y
Advancement for closure of midface defects. Dermatol Surg
;27:656-8.
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