Sepsis of the cheek over a subcutaneous forehead flap.
In two cases, a temporal flap was folded medially and passed through a subcutaneous tunnel superficial to the parotid gland. In both cases sepsis developed at the point at which the flap entered the mouth. In one case a spontaneous perforation occurred and the other required drainage. If one elects to fold the flap medially and pass it superficial to the zygomatic arch, the route described by Lewis and Remensnyder, i.e., deep to the masseter, is preferable.
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000628:therapy; D002610:Cheek; D005260:Female; D005546:Forehead; D005927:Glossectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009060:Mouth Floor; D009062:Mouth Neoplasms / Q000628:therapy; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000209:etiology*; D014062:Tongue Neoplasms / Q000628:therapy