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Semin Plast Surg 2018; 32(02): 084-089
DOI: 10.1055/s-0038-1642640
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Approach to Reconstruction of Cheek Defects

Berkay Başağaoğlu
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Mohin Bhadkamkar
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Pierce Hollier
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Edward Reece
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations
Funding None.
Further Information

Publication History

Publication Date:
14 May 2018 (online)

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Abstract

The cheek is the largest facial unit with a prominent position on the face. Trauma, burns, and the resection of skin cancers constitute common sources of injury, potentially resulting in defects that, through natural healing, produce noticeable scarring. Surgical repair focuses on the reformation of three-dimensional geometries, proper establishment of symmetry, and the minimization of color and texture discrepancies to the surrounding. Defects located in this region may extend to the orbital, nasal, or buccal units and cause unique structural and functional disturbances. Furthermore, without appropriate repair, full-thickness defects involving the buccal mucosa may result in oral dysfunction. In this article, the authors provide a framework to approach various cheek defects and provide a review of the host of ideologies and techniques.

Keywords

considerations of cheek reconstruction - facial flaps - skin grafting - free tissue transfer