Facial reconstruction

Defects under the orbit

 * otary facial flap – we can use it to move tissue from the retroauricular area + the neck
 * cervicofacial flap – we rotate the tissue from the area at the angle of the jaw cranially into the defect, we cover the donor defect with a Y-V shift of the chin

Defects in front of the auricule

 * musculocutaneous flap of the pectoralis major muscle (or trapezius muscle, latissimus dorsi muscle)
 * medially pedunculated neck flap with donor area coverage with skin graft (aesthetically worse)
 * cervicopectoral rotation flap – extensive dissection required with resulting long scar
 * deltopectoral and cervicohumeral lobes

Bucomandibular region

 * musculocutaneous flap of the pectoralis major muscle
 * some loose lobes

Related articles

 * Facial soft tissue injuries