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Ted A. Cook, MD; Jeffrey M. Israel, MD; Tom D. Wang, MD; Craig S. Murakami, MD; Peter J. Brownrigg, MD

Arch Otolaryngol Head Neck Surg. 1991;117(1):77-82.

Abstract
• The midface has long served as a focus for creativity in surgical reconstruction. Full-thickness skin grafts, split-thickness grafts, and distal flaps have long been used to attempt to reduplicate existing anatomy in this area. Recent reconstruction efforts have focused on the creative use of microvascular free flaps for this purpose. This article reports on the use of extensively developed regional rotation flaps as an excellent reconstructive modality for use in this area of the face. The details of surgical incisional planning are given. The nuances of surgical creation of these flaps and their rotation and suspension into place are given. The cases we have done using this technique for the past 3 years are reviewed. Our present indications for use of these flaps and their limitations are given.

(Arch Otolaryngol Head Neck Surg. 1991;117:77-82)

Author Affiliations
From the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland (Dr Cook), Department of Otolaryngology—Head and Neck Surgery, Kaiser Sunnyside Medical Center, Portland, Ore (Dr Israel), Division of Facial Plastic Surgery, Department of Otolaryngology—Head and Neck Surgery, The Mayo Graduate School of Medicine, Rochester, Minn (Dr Wang), the Division of Facial Plastic Surgery, Department of Otolaryngology—Head and Neck Surgery, University of Washington School of Medicine, Seattle (Dr Murakami), and the Department of Otolaryngology—Head and Neck Surgery, University of Ottawa, Ontario (Dr Brownrigg).

Footnotes
Accepted for publication September 4, 1990.

Presented in part at the Fall Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Washington, DC, September 24, 1988.

Reprint requests to Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, Portland, OR 97201 (Dr Cook).

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