A vaiety of lesions and deformities necessitate resurfacing a major portion of the cheek or the lower eyelid. Especially, in moderate or large defect of them resurfacing is a challenging task. In our experience, these have included large benign pigmented lesions, hemangioma, large postburn scar, neoplasia and avulsion wound.
The physical characteristics of facial skin are matched best by adjacent skin. Resurfacing of the facial defect by using distant flap and skin graft have been done conventionally. But they are seldom matched the original facial skin in texture and color. In our experienced, the most acceptable coverage is suggested the adjacent cervicofacial flap based on midline of the neck. Then we recommend surely the active use of cervicofacial flap instead of skin graft and distant flap.
|