Abstract
One of the main benefits of transposition flaps is their ability to shift wound closure tension perpendicular to a structure in danger of being distorted. This principle contributes to the near universal use of bilobe transposition flaps to prevent alar or tip retraction in nasal reconstruction. The other structure of concern of distortion in facial reconstruction is the lower eyelid. Defects of the cheek which lie underneath eye present a risk for ectropion. With primary closure and with flap repair, the goal should be shift the wound closure to the horizontal plane, thus supporting—and even sometimes advancing up—the lower eyelid.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Baker, Shan R. Local Flaps in Facial Reconstruction. Elsevier, 2022.
Chu EA, Byrne PJ. Rhombic flap for cheek reconstruction. Ear Nose Throat J. 2008 Jun;87(6):320-1.
Menick FJ. Reconstruction of the cheek. Plast Reconstr Surg. 2001 Aug;108(2):496-505.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Boyette, J.R. (2023). Reconstruction of a Medial Cheek Defect with a Rhombic Transposition Flap. In: Stack Jr., B.C., Moreno, M.A., Boyette, J.R., Vural, E.A. (eds) Matrix Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24981-5_37
Download citation
DOI: https://doi.org/10.1007/978-3-031-24981-5_37
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-24980-8
Online ISBN: 978-3-031-24981-5
eBook Packages: MedicineMedicine (R0)