[Reconstruction of a cheek defect in three patients].
A woman aged 62 and two men aged 52 and 26 all with a cheek defect following resection of a recurrence of a lentigo maligna, a recurrence of a basal-cell carcinoma of the wispy type and a dermatofibrosarcoma protuberans respectively, all underwent cheek reconstruction. The rotation flap technique was used in the first two patients. The third patient was treated with a cervicofacial musculocutaneous transposition flap and underwent postoperative radiotherapy due to the high risk of recurrence. All 3 patients made a good recovery. Defects after radical resection of malignant head and neck skin tumours can be treated by several reconstruction techniques depending on the site, size, and shape of the defect. A local transposition flap is the preferred method of reconstruction. It is important to respect the aesthetic units of the face in order to achieve the best aesthetic and functional results.
Juten
P G
PG
Erasmus MC-Centrum, afd. Plastische en Reconstructieve Chirurgie, Postbus 2040, 3000 CA Rotterdam.
Mureau
M A M
MA
Hofer
S O P
SO
D000328:Adult; D002280:Basal Cell Carcinoma / Q000601:surgery*; D002610:Cheek / Q000601:surgery; D018223:Dermatofibrosarcoma / Q000601:surgery*; D005260:Female; D006801:Humans; D018327:Hutchinson's Melanotic Freckle / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome