CHEEK RECONSTRUCTION - RECONSTRUCTION OF THE CHEEK Dr.Madhu...

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RECONSTRUCTION OF THE CHEEK Dr.Madhu Ganga Hospital
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IMPORTANCE FACIAL AESTHETICS CONTOUR PROTRUBERANCE FACIAL LINES FACIAL EXPRESSIONS EMOTIONAL GESTURES MASTICATION
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BOUNDARIES MEDIALLY – NASOLABIAL CREASE LATERALLY - PREAURICULAR BOUNDARIES MEDIALLY - NASOLABIAL CREASE LATERALLY - PREAURICULAR REGION SUPERIORLY - INFERIOR ORBITAL RIM INFERIORLY - MANDIBULAR RIM
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ANATOMY - MUSCLES
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ANATOMY –BLOOD SUPPLY ARTERIAL SUPPLY FACIAL ARTERY TRANSVERSE FACIAL ARTERY VENOUS DRAINAGE COMMON FACIAL VEIN INFRA ORBITAL VEINS DEEP VEINS
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ANATOMY- MOTOR NERVES
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ANATOMY – SENSORY SUPPLY
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CAUSES OF CHEEK DEFECTS NEOPLASIA TRAUMA INFECTION CONGENITAL IDIOPATHIC
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CANCRUM ORIS CARCINOMA TESSIER 4 CLEFT TRAUMA
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Cheek reconstruction METHODS PRIMARY CLOSURE SKIN GRAFTS LOCAL FLAPS TISSUE EXPANSION INTERPOLATION FLAPS FREE FLAPS
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PRIMARY CLOSURE CENTRAL WOUNDS < 2cm EXTENSIVE UNDERMINING OF SURROUNDING TISSUE ELDERLY INDIVIDUAL FINAL SCARS ALONG RSTLs COMPLEX FORMS M PLASTY W PLASTY GEOMETRIC BROKEN LINE CLOSURE
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M PLASTY
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SKIN GRAFTS BEST SUITED FOR THE INDIAN PATIENT > 4cm DEFECT HIGH GRADE NEOPLASMS WITH DOUBTFUL MARGINS HIGH RISK PATIENT FULL THICKNESS BURNS OF THE FACE FTSG LESS CONTRACTION BETTER COLOUR MATCH STSG MORE CONTRACTION LESS COSMESIS
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LOCAL FLAPS ADVANCEMENT FLAPS SINGLE PEDICLE / V-Y ADVANCEMENT FLAPS USUALLY RANDOM PATTERN FLAPS BEST SUITED FOR MEDIAL CHEEK DEFECTS
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