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Edward C. Weisberger, MD; William Hanke, MD

Arch Otolaryngol. 1983;109(3):190-194.

Abstract
• Six patients required reconstruction of full-thickness defects of the cheek and underlying maxilla. We preferred to use a technique employing local cervicofacial rotation advancement flaps. The advantages of this technique include an excellent color match and placement of the line of closure in natural junction zones of the face. Problems that must be dealt with include correction of ectropion and revision of the lower portion of the nose. An alternative means of reconstruction consists of prosthetic management and the use of a regional pedicle flap. Careful monitoring of the soft-tissue margins, evaluation for possible cranial nerve involvement, and the use of postoperative irradiation therapy are important therapeutic considerations.

(Arch Otolaryngol 1983;109:190-194)

Author Affiliations
From the Departments of Otolaryngology—Head and Neck Surgery (Dr Weisberger) and Dermatology (Dr Hanke), Indiana University School of Medicine, Indianapolis.

Footnotes
Accepted for publication Oct 26, 1982.

Read in part before the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, May 7, 1982.

Reprint requests to Department of Otolaryngology—Head and Neck Surgery, Indiana University School of Medicine, 1100 W Michigan, Riley Hospital A-56, Indianapolis, IN 46223 (Dr Weisberger).

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ABSTRACT