F. Solerpresas et al., MIDFACE SOFT-TISSUE RECONSTRUCTION WITH THE FACIO-CERVICO-PECTORAL FLAP, Journal of cranio-maxillo-facial surgery, 25(1), 1997, pp. 39-45
The reconstruction of large soft tissue defects in the orbital and max
illomalar region is a difficult task. A good functional and aesthetic
result has to be achieved. The cervicopectoral rotation flap has many
advantages; it is easy, rapid and safe to harvest, compatible with cer
vical dissection and radiotherapy. It is an anatomical unit, with skin
properties similar to the rest of the facial skin. This is our pedicl
e flap of choice for large soft tissue defects in the midface, special
ly in elderly patients. We use it in association with the temporalis m
yofascial flap in cases of orbital exenteration. In large defects, the
alternatives to these flaps are microsurgical free flaps or other ped
icled flaps. These flaps require more complex techniques, are time con
suming surgically, have greater morbidity and equal or worse functiona
l and aesthetic results. In this paper we present our experience. Twen
ty-two patients with large soft tissue defects in the maxillomalar and
orbital regions have had reconstructions with these flaps (facio-cerv
ico-pectoral rotation flap and temporalis myofascial flap) in the last
8 years.