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Cheek

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Cutaneous Flaps in Head and Neck Reconstruction

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Abstract

The cheek constitutes the face’s largest anatomic and aesthetic unit. The soft tissues and the fasciae of the cheek are arranged concentrically over its bony skeleton. From an anatomic and surgical point of view, these structures are layered as follows: skin, subcutaneous tissue, musculoaponeurotic layer (SMAS-mimic muscles), parotidomasseteric fascia, buccal space and contents, deep muscular layer, and retaining ligaments. Surgically important nerves and vessels travel through these layers often changing planes. All types of local flaps can be derived from the cheeks providing a wide range of restoration options. Random pattern advancement, transposition, and rotation flaps work well in this region and are used to reconstruct primarily the cheek itself, but also the nearby nose, lips, and lower lid.

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  1. Department of Anatomy, Medical School Democritus University of Thrace, Alexandroupolis, Evros, Greece

    Vasilios K. Thomaidis MD, DDS, PhD

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  1. Vasilios K. Thomaidis MD, DDS, PhD
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Thomaidis, V.K. (2014). Cheek. In: Cutaneous Flaps in Head and Neck Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41254-7_5

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  • DOI: https://doi.org/10.1007/978-3-642-41254-7_5

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