Kilinc Hidir, Geyik Yilmaz, Aytekin Ahmet Hamdi
From the Department of Plastic Surgery, İnonu University, Medical Faculty, Malatya, Turkey.
J Craniofac Surg. 2013 Jan;24(1):e92-5. doi: 10.1097/SCS.0b013e3182798edf.
The most common causes of cheek defects include trauma, burn, and tumor resections. In the reconstruction of the defects in this region, it is essential to use similar or adjacent tissue considering the aesthetic and functional properties. For this purpose, numerous local, regional, or distant free flaps were described. The local flaps harvested from the head and neck region are the most frequent methods because of the similar skin color, texture, and compatibility with cheek.In this study, the reconstruction in a 29-year-old male patient who had a full-thickness cheek defect due to tumor resection on the left side was performed, wherein a hairless skin island was carried through the frontal branch of superficial temporal artery for oral mucosa, and a hairy skin island through the parietal branch of the same pedicle was carried for the bearded skin defect. No complication occurred postoperatively and both aesthetic and functional satisfactory results were obtained, providing the oral mucosal and natural beard integrity. Donor-site scarring and temporal alopecia were recorded as the disadvantages of this method.This technique is a useful method for the reconstruction of full-thickness cheek defects because of its advantages including compatibility of color and texture, reliable blood supply, requiring single-session procedure, and being able to carry 2 different skin islands on the same pedicle.
面颊缺损最常见的原因包括创伤、烧伤和肿瘤切除。在该区域缺损的重建中，考虑到美学和功能特性，使用相似或相邻组织至关重要。为此，人们描述了许多局部、区域或远位游离皮瓣。从头颈部区域获取的局部皮瓣是最常用的方法，因为其皮肤颜色、质地与面颊相似且相容性好。在本研究中，对一名29岁男性患者进行了重建手术，该患者因左侧肿瘤切除导致全层面颊缺损，其中通过颞浅动脉额支携带无毛皮岛用于口腔黏膜，通过同一蒂的顶支携带多毛皮肤岛用于有胡须的皮肤缺损。术后未发生并发症，获得了美学和功能上的满意效果，恢复了口腔黏膜和自然胡须的完整性。供区瘢痕形成和颞部脱发被记录为该方法的缺点。由于该技术具有颜色和质地相容性好、血供可靠、只需单次手术且能够在同一蒂上携带2个不同的皮岛等优点，是一种用于全层面颊缺损重建的有用方法。
