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

Literature

  • MĚŠŤÁK, Jan, et al. Úvod do plastické chirurgie. 1. edition. Univerzita Karlova v Praze - Nakladatelství Karolinum, 2005. 125 pp. ISBN 80-246-1150-3.