Cass Nathan D, Terella Adam M
Department of Otolaryngology, University of Colorado School of Medicine, 12631 East 17th Avenue, B205, Aurora, CO 80045-2527, USA.
Department of Otolaryngology, University of Colorado School of Medicine, 12631 East 17th Avenue, B205, Aurora, CO 80045-2527, USA.
Facial Plast Surg Clin North Am. 2019 Feb;27(1):55-66. doi: 10.1016/j.fsc.2018.08.007.
The goal of cheek reconstruction is to restore an illusion of "normal." Attention must be directed toward the contralateral cheek skin color, texture, thickness, and contour, because this serves a template for reconstruction. The cheek is a peripheral facial subunit and largely frames the more central subunits (eyelids, nose, lips). As such, avoiding distortion or disfigurement of the central subunits is of paramount importance. The cheek possesses significant tissue laxity, elasticity, and mobility, thus allowing for the vast majority of cheek defects to be addressed with primary closure, local flaps, or locoregional flaps.
颊部重建的目标是恢复“正常”的外观。必须关注对侧颊部的皮肤颜色、质地、厚度和轮廓,因为这为重建提供了模板。颊部是面部的外周亚单位,在很大程度上构成了更中央亚单位(眼睑、鼻子、嘴唇)的框架。因此,避免中央亚单位的变形或毁容至关重要。颊部具有显著的组织松弛度、弹性和活动度,因此绝大多数颊部缺损可通过一期缝合、局部皮瓣或区域皮瓣来处理。