Abstract

Background: One of the methods for midface soft-tissue defect reconstruction has been the cervicofacial flap. Methods: Cheek skin defects of 35 patients were reconstructed with cervicofacial flaps. This study was done from 2007 to 2011. Mean follow-up was 24 months. In these patients, tumors including 19 basal cell carcinomas, 11 squamous cell carcinomas, and 5 malignant melanoma were excised, and cheek reconstructions were done by this flap in defects of 5- to 8-cm diameter in 3 zones. We did some modifications in the cervicofacial flap. Results: In our experience, 35 patients aged 30 to 75 years (mean, 53 years), 16 women (46) and 19 (54) men, had a reconstruction with cervicofacial flap. Lesions included basal cell carcinoma (n = 19), malignant melanoma (n = 5), and squamous cell carcinoma (n = 11) in the cheek region. We performed periosteal malar bone anchoring suture of the flap in all cases and lateral canthopexy with this flap in 11 cases where lesions were in the suborbital or lateral periorbital region. Conclusions: Cervicofacial flap with malar bone periosteal anchoring with or without lateral canthopexy is a good aesthetic choice for cheek skin reconstructions.