颈面皮瓣的多功能性：颈内侧颊瓣用于修复内侧颊部皮肤实质缺失。

Versatility of cervicofacial flaps: Cervical-medial cheek flap for reconstruction in cutaneous substance loss of the inner cheek.

机构信息

Department of Reconstructive and Plastic Surgery, University Hospital Nice, Nice, France.

Department of Head and Neck Surgery, Centre Antoine Lacassagne, Nice, France.

出版信息

Head Neck. 2018 Dec;40(12):2574-2582. doi: 10.1002/hed.25183. Epub 2018 Nov 17.

DOI:10.1002/hed.25183

PMID:30447111

Abstract

BACKGROUND

Preservation of facial harmony is a major challenge in reconstruction after resection of head and neck skin tumors. For large medial cheek-skin defects, we used a derived posterior-based cervicofacial flap, or cervical-medial cheek flap (CMCF).

METHODS

We present a retrospective review of cases treated at a university-based cancer center. Patient characteristics, surgical technique, and complication rates are described.

RESULTS

Eighteen patients were treated between 2014 and 2017 with reconstruction for integumentary cheek defect after skin tumor surgery using CMCF. Mean defect size was 5.7 cm in length and 3.9 cm in width. The main histological subtype was lentigo maligna (33.3%). We report no flap necrosis but 4 minor complications occurred over a mean follow-up of 14.4 months. At last follow-up, satisfaction rate was very high (88.9%) with no evidence of recurrence.

CONCLUSION

The CMCF is a promising yet infrequently used option in medial cheek reconstruction, with excellent cosmetic and functional outcomes.

摘要

背景

在头颈部皮肤肿瘤切除后的重建中，保持面部和谐是一个主要挑战。对于较大的内侧颊皮缺损，我们使用衍生的颈侧颊瓣或颈-内侧颊瓣（CMCF）。

方法

我们对在大学癌症中心治疗的病例进行回顾性分析。描述了患者特征、手术技术和并发症发生率。

结果

2014 年至 2017 年间，18 例患者因皮肤肿瘤手术后的皮肤颊部缺损接受了 CMCF 重建。平均缺损长度为 5.7cm，宽度为 3.9cm。主要组织学亚型为良性黑素瘤（33.3%）。我们报告没有皮瓣坏死，但在平均 14.4 个月的随访中有 4 例出现轻微并发症。末次随访时，满意度非常高（88.9%），无复发证据。