Abstract
Objective
To recount our experience with the cervicopecloral flap (clavipfcmral flap, herein after referred to as CVF) fur reconstruction of large lateral cervicofacial defects in fifteen patients, which has been underutilized and has not received due recognition in world literature pertaining to reconstructive surgery.
Study Design
Retrospective case review
Setting
Tertiary care regional cancer referral center.
Patients
Those with lateral cervicofacial defects resulting from extirpative cancer surgical resection.
Results
A 100% ‘take rate’ was observed at the primary defect. In 7% there was full thickness, distal loss that was successfully managed by split thickness skin grafting. Three cases (20%) shaved superficial epidermolysis, which healed by full epithelization within three weeks.
Conclusion
This flap provides satisfactory primary closure of surface defects that do not extend beyond an arbitrary line extending from the angle of mouth to tragus and posteriorly beyond the mastoid.
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References
Andrew Wallis and Paul Donald, Lateral face reconstruction with the Medial Based Cervicopectoral Flap, Archives Of Otolaryngology Head and Neck Surgery, Vol 114 Julyl 1988, 729–733.
Concepts in Neck Recontruction, Shindo M. Otolaryngologic Clinics of North America, 30: 4 1997.
Hurwitz DK, Rabson JA, Futrell J. W.The anatomic Basis For The Platysmal Skin Flap; Plastic & Reconstructive Surgeryl983,72:302–312.
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Shenoy, A.M., Grover, N., Chawla, S. et al. Cervicopectoral rotation flap for primary closure of lateral face and neck defects. Indian J Otolaryngol Head Neck Surg 55, 234–237 (2003). https://doi.org/10.1007/BF02992426
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DOI: https://doi.org/10.1007/BF02992426