Journal article
Deep-Plane Cervicofacial “Hike”: Anatomic Basis with Dog-Ear Blepharoplasty
Plastic and reconstructive surgery (1963), v 99(1), pp 16-21
Jan 1997
PMID: 8982182
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The temporal and cheek areas are particularly vulnerable to sun damage and therefore to skin cancers. Rotation-advancement flaps are used commonly in the reconstruction of these regions following resection of skin cancers. Such flaps usually are modifications of the Mustardé, cervicofacial, and Juri flaps. The drawbacks to these flaps relate to a random, unpredictable perfusion with skin loss at the distal flap tip, a vertically oriented dog-ear that predictably is located on the cheek, and the risk of gravitational and cicatricial forces acting on the lower eyelid causing ectropion.The deep-plane technique for raising cheek flaps, as has been described recently for use in rhytidectomy, allows the plastic surgeon to address both drawbacks of the standard cervicofacial flaps. The vertical “hike” deepplane approach addresses both drawbacks of the rotationadvancement flaps by including better perfusion and superior mobility after release of restraining ligaments. We describe the anatomic rationale for the deep-plane dissection of the cheek in cadaver studies and present our clinical technique with a vertical “hike” cheek advancement with removal of the horizontally oriented dog-ear as in a blepharoplasty. This single-stage technique will be called the deep-plane “hike” flap. The vertically advanced flap must be slightly overcorrected by anchoring the flap to the periosteum just above the recipient defect. This deep fixation removes all tension from the skin and prevents ectropion. This single-stage reconstruction affords excellent cosmetic results without compromising any future reconstructive efforts.
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Details
- Title
- Deep-Plane Cervicofacial “Hike”: Anatomic Basis with Dog-Ear Blepharoplasty
- Creators
- Michael Longaker - University Hospital and ClinicsPaul Glat - University Hospital and ClinicsBarry Zide - University Medical Center
- Publication Details
- Plastic and reconstructive surgery (1963), v 99(1), pp 16-21
- Publisher
- American Society of Plastic Surgeons
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:A1997WA11700003
- Scopus ID
- 2-s2.0-0031033784
- Other Identifier
- 991021838125604721
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- Surgery