Cheek Advancement surgery is a type of surgery that can be done to repair a wide variety of small or moderate-sized cheek defects.
Some facts about Cheek Advancement surgery:
The cheek advancement flap is a technique that is suitable for reconstruction of large cheek skin defects after excision of skin malignancies.
The cheek area can be reconstructed as the cheek rotation flap has sufficient blood flow and large flap size. It is also easy to manipulate and flexible.
The cheek rotation flap can be used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus.
The cheek area need a reconstruction after removal of the facial tumor.
The location, size, depth, and the adjacent tissue relax degree is considered by the surgeon when reconstructing the defect site after removal of the facial tumor.
The cheek rotation advancement flap is used to reconstruct the cheeks or the wide lower eyelid defect. It is one of the local flaps that reconstructs the face.
Intention healing may offer acceptable functional and aesthetic results for small, superficial defects located in concave areas of the cheek, such as the preauricular sulcus, melolabial crease, and facial-alar groove.
The only nonsurgical option for the treatment of cheek defects is healing by secondary intention
Secondary intention may heal the large lateral cheek defect that cannot be closed primarily, in a patient who cannot tolerate complicated reconstructive options with a reasonable result.
This form of healing is suitable for defects that are small and superficial and are not closely associated with the eyelid or lip .
Procedure for Cheek Advancement surgery:
The procedure can be done when you are awake as well as asleep.
A small incision will be made above the gumline of the upper teeth under each cheek.
3 to 5 days of swelling in the cheeks are expected.
Mostly absorbable sutures are used that do not need to be removed.
The rotation-advancement flaps which may be designed as either single or double lobe are used for cheek reconstruction.
Most small defects may be primarily closed, where as large residual donor defects may require skin graft placement for closure.
Repair of large cheek defects that are larger than 3 to 4 cm in the lower preauricular area where recruitment of the upper posterior auricular cervical skin is needed for wound closure can be done by rotational flaps.
Transposition flaps may be used or better result in case of more medial part of the cheek.
Medium-sized defects can be treated with the help of bilobed flaps that can also be used to rotate adjacent tissue into cheek defects.
The secondary flap can be rotated in to fill the primary donor defect after advancement of the primary flap.
Bilobed flaps are most effective in lateral defect repair for cheek reconstruction when the donor site can be placed in the cervical area as well as in the buccal area
These allows recruitment of a larger adjacent flap and closure of the donor defect with a more distant flap.
Bilobed flaps rotate adjacent tissue over the cheek defects for providing coverage.