title: The Need for Overcorrection When Using a Suborbital Cervicofacial Hike Flap.
abstract: BACKGROUND
  The senior author has previously described a deep-plane cervicofacial hike flap as a workhorse for reconstruction mid-cheek defects. One important modification commonly used involves overcorrection of the defect in order to reduce the incidence of ectropion. This report outlines the senior author's experience in surgical treating complex cheek defects with an overcorrected deep-plane cervicofacial hike flap.
  
  
  METHODS
  The authors performed a retrospective review of the senior author's patients with cheek and eyelid reconstruction. The authors initially identified all patients who had undergone a deep-plane cervicofacial hike flap, then filtered those charts for patients who had overcorrection of their deformity in order to prevent ectropion.
  
  
  RESULTS
  A total of 3 patients had an overcorrected flap. Overcorrection was accomplished either by cheek advancement with suture fixation to the deep temporal fascia, or by placement of drill holes and bone anchors. Lower eyelid malposition was avoided in all 3 patients. Patient satisfaction at long term follow-up was very high, and no revision surgery was needed.
  
  
  CONCLUSIONS
  If gravitational or cicatricial forces can potentially distort the eyelid in patients with cheek or eyelid reconstruction, it is necessary to overcorrect the cheek flap. This modification of the deep-plane cervicofacial flap is an important tool in reconstructing defects in this area.
authors.affiliation: *Department of Plastic and Reconstructive Surgery, New York University †Division of Plastic and Reconstructive Surgery, Northwell Health, New York, NY.
authors.forename: Sammy
authors.initials: S
authors.lastname: Sinno
authors.forename: Rohini
authors.initials: R
authors.lastname: Kadel
authors.forename: Neil
authors.initials: N
authors.lastname: Tanna
authors.forename: Barry M
authors.initials: BM
authors.lastname: Zide
mesh_terms: D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D002610:Cheek / Q000601:surgery*; D004483:Ectropion / Q000517:prevention & control*; D005153:Facial Neoplasms / Q000601:surgery; D000071938:Fasciotomy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000517:prevention & control*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000601:surgery*; D053441:Suture Anchors; D013536:Suture Techniques