Al Shetawi Al Haitham, Quimby Anastasiya, Fernandes Rui
Fellow, Head and Neck Surgical Oncology and Microvascular Reconstruction, Division of Head and Neck Surgery, Department of Oral and Maxillofacial Surgery, University of Florida Health, Jacksonville, FL.
Resident, Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, University of Florida Health, Jacksonville, FL.
J Oral Maxillofac Surg. 2017 Dec;75(12):2708.e1-2708.e6. doi: 10.1016/j.joms.2017.08.006. Epub 2017 Aug 12.
The cervicofacial (CF) flap is a random-pattern flap that provides an excellent match for cheek reconstruction. The design of the CF flap varies between different cheek subunits. In this report, the authors review their experience with this flap and present a guide for flap design for different cheek subunits.
Patients who had cheek reconstruction were screened using the database of the surgical procedures from 2011 to 2016. Seventy-four patients were identified. Data on patient demographics, diagnosis, defect type, and outcome were retrospectively reviewed. Patients who did not have a clear description of the defect or flap design were excluded from the study. The authors divided the cheek into 3 zones and created a guide for flap design for each zone.
Twenty-eight patients with CF flap for cheek reconstruction met the inclusion criteria (21 male [75%] and 7 female [25%]; mean age, 57 yr; range, 8 to 88 yr). Fifty-seven percent had zone A defects, 18% had zone B1 defects, 14% had zone B2 defects, and 11% had multiple-zone defects. Mean follow-up was 4.6 months (0 to 17 months). Ninety-three percent had a successful outcome. Only 2 patients developed wound complications.
The CF flap is a versatile flap that provides excellent skin color, thickness, and texture match in cheek reconstruction. Planning the flap design is essential to achieve a good outcome. The present algorithm provides a straightforward method to reliably design the CF flap for cheek reconstruction.
颈面部（CF）皮瓣是一种随意型皮瓣，非常适合用于面颊重建。CF皮瓣的设计在不同的面颊亚单位之间有所不同。在本报告中，作者回顾了他们使用该皮瓣的经验，并针对不同的面颊亚单位提出了皮瓣设计指南。
利用2011年至2016年手术操作数据库筛选接受面颊重建的患者。共识别出74例患者。对患者的人口统计学数据、诊断、缺损类型和结果进行回顾性分析。未对缺损或皮瓣设计进行清晰描述的患者被排除在研究之外。作者将面颊分为3个区域，并为每个区域制定了皮瓣设计指南。
28例接受CF皮瓣面颊重建的患者符合纳入标准（21例男性[75%]，7例女性[25%]；平均年龄57岁；范围8至88岁）。57%为A区缺损，18%为B1区缺损,14%为B2区缺损,11%为多区域缺损。平均随访时间为4.6个月（0至17个月）。93%的患者取得了成功的结果。只有2例患者出现伤口并发症。
CF皮瓣是一种多功能皮瓣，在面颊重建中能提供极佳的肤色、厚度和质地匹配。规划皮瓣设计对于取得良好效果至关重要。本算法提供了一种简单直接的方法，可可靠地设计用于面颊重建的CF皮瓣。
