eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery

Cheek Reconstruction: Follow-up

Author: Mimi S Kokoska, MD, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences; Chief, Department of Otolaryngology-Head and Neck Surgery, Central Arkansas Veterans Healthcare System
Coauthor(s): Stephen Prendiville, MD, Otolaryngology, Facial Plastic Surgery, Ft. Myers Centre for Facial Plastic and Laser Surgery
Contributor Information and Disclosures

Updated: Feb 15, 2008

Future and Controversies

Reconstruction of the cheek requires a thoughtful approach to the etiology of the defect, the functional status of the patient, and the best solution with the least morbidity. The prominence, dynamic function, and contour of the cheek make it a challenging structure to repair. A wide variety of options are available, ranging from a simple skin graft to microvasculature free tissue transfer. However, the reconstructive flap must suit the defect and the patient. Likewise, the surgeon must be able to use a wide variety of reconstructive options should an alternative be required.

 


More on Cheek Reconstruction

Overview: Cheek Reconstruction
Treatment: Cheek Reconstruction
Follow-up: Cheek Reconstruction
Multimedia: Cheek Reconstruction
References

References

  1. Zide BM. Deformities of the lips and cheeks. In: McCarthy JG, ed. Plastic Surgery. WB Saunders Co;1990.

  2. Baker SR. Local cutaneous flaps. Otolaryngol Clin North Am. Feb 1994;27(1):139-59. [Medline].

  3. Banducci DR, Manders EK. Reconstruction of the cheek. In: Baker SR, Swanson SA, eds. Local Flaps in Facial Reconstruction. Vol 1. Mosby;1995:397-420.

  4. Becker FF, Langford FP. Deep-plane cervicofacial flap for reconstruction of large cheek defects. Arch Otolaryngol Head Neck Surg. Sep 1996;122(9):997-9. [Medline].

  5. Boutros S, Zide B. Cheek and eyelid reconstruction: the resurrection of the angle rotation flap. Plast Reconstr Surg. Oct 2005;116(5):1425-30; discussion 1431-3. [Medline].

  6. Cook TA, Israel JM, Wang TD, et al. Cervical rotation flaps for midface resurfacing. Arch Otolaryngol Head Neck Surg. Jan 1991;117(1):77-82. [Medline].

  7. Futran ND, Mendez E. Developments in reconstruction of midface and maxilla. Lancet Oncol. March 2006;7(3):249-58. [Medline][Full Text].

  8. Gibson T. The physical properties of skin. In: Converse JM, ed. Reconstructive Plastic Surgery. WB Saunders Co;1977:1.

  9. Hollinshead WH. The face. Anatomy for Surgeons. 3rd ed. JB Lipincott;1982:291-324.

  10. Khazanchi RK, Rakshit K, Thakur KK, Manikumari B. A new design for reconstruction of composite defects of cheek and lips. Plast Reconstr Surg. Aug 1996;98(2):370-2. [Medline].

  11. Lascaratos J, Cohen M, Voros D. Plastic surgery of the face in Byzantium in the fourth century. Plast Reconstr Surg. Sep 1998;102(4):1274-80. [Medline].

  12. Moore BA, Wine T, Netterville JL. Cervicofacial and cervicothoracic rotation flaps in head and neck reconstruction. Head Neck. Dec 2005;27(12):1092-101. [Medline].

  13. Rohrich RJ, Sheffield RW. Lip and cheek reconstruction. Selected Readings in Plastic Surgery. Vol 17. 1987:11.

  14. Swenson RW. Tissue expansion. In: Papel ID, Nachlae NE, eds. Facial Plastic and Reconstructive Surgery. Vol 1. Mosby;1992:56-67.

Further Reading

Keywords

cheek reconstruction, local flap reconstruction, cervicofacial advancement flap, transposition flap, primary closure, skin graft, full-thickness graft, FTSG, split-thickness graft, STSG, local flap, soft tissue expansion, microsurgical free flap, full thickness skin graft, split thickness skin graft, facial plastic surgery, cheek defects, cervicofacial rotation flap, bipedicled flaps, V-Y subcutaneous island advancement flap, local advancement flaps, dog-ear deformity, facial reconstruction, cheek neoplasia, cheek tumor, cheek burns, cheek trauma, rhombic flap, Dufourmentel flap, Z-plasty, bilobed flap, note flap, W-plasty, melolabial flap, interpolation flap, paramedian forehead flap, mechanical creep, fasciocutaneous scapular flap, radial forearm flap, myocutaneous rectus flap

Contributor Information and Disclosures

Author

Mimi S Kokoska, MD, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences; Chief, Department of Otolaryngology-Head and Neck Surgery, Central Arkansas Veterans Healthcare System
Mimi S Kokoska, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, American College of Surgeons, American Head and Neck Society, and Arkansas Medical Society
Disclosure: Nothing to disclose.

Coauthor(s)

Stephen Prendiville, MD, Otolaryngology, Facial Plastic Surgery, Ft. Myers Centre for Facial Plastic and Laser Surgery
Stephen Prendiville, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, and American Academy of Otolaryngology-Head and Neck Surgery
Disclosure: Nothing to disclose.

Medical Editor

Terance (Terry) Ted Tsue, MD, Vice-Chairman for Administrative Affairs, Professor, Residency Program Director, Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine
Terance (Terry) Ted Tsue, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society for Head and Neck Surgery, Association for Research in Otolaryngology, Johns Hopkins Medical and Surgical Association, Missouri State Medical Association, Phi Beta Kappa, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

David W Stepnick, MD, Associate Professor, Departments of Plastic Surgery and Otolaryngology-Head and Neck Surgery, Case Western Reserve University School of Medicine, University Hospitals of Cleveland Case Medical Center
David W Stepnick, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society for Head and Neck Surgery, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Syndicom Ownership interest Consulting; Oxlo  Consulting; Medvoy Ownership interest Management position

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