Total Cheek Resurfacing with Split Ascending Neck Flap
Reconstruction of full face or total cheek burns is a difficult task for a surgeon of any skill level. Lack of adequate healthy local tissue, significant differences in skin texture, color, and thickness of distal transplants, and the complex anatomical composition of the face lead surgeons to constantly search for new surgical methods to improve surgical outcomes. Many strategies have been implemented over the years allowing us to compare the outcomes of various techniques and to perform the most effective operations. For total deformed cheek restoration, the flap should be large, thin, sensate, and pliable, and should match the color of the surrounding healthy skin. Neck skin fits all of these criteria better than any other sources. It usually takes two stages to cover a total cheek burn. A step-by-step approach is described in this chapter.