×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.
My Player placeholder

Become an Oncostream member and receive full access to its content!

You must be an Oncostream member to access videos without any restrictions. Register for free in one minute and access all services provided by Oncostream.You will also be able to log into Oncostream from your Facebook or twitter account by clicking on login on the top-right corner of Oncostream website.

Registration Login


A 75-year-old patient operated on for Merkel cell carcinoma of the right cheek, T1N0M0, with sentinel lymph node biopsy followed by a reconstructive surgery using a large vertical advancement cervicofacial flap. Step 1 : incision planning for monoblock removal of the skin tumor with 2 cm self margins and reconstructive surgery drawing from melolabial fold incision to cervical level of length equal to the height of the sbstance loss. Step 2 : raising of the sub cutaneous flap from the cheek extended to the cervical area. The greater the size of the defect, the further the incision was extended to the cervical area. Step 3 : identification and resection of sentinel node in level Ib was performed. Step 4 : ascensioned flap was anchored with 2 layers to the infrorbital periosteal rim to avoid the risk of ectropion with tension-free cutaneous and subcutaneous sutures. Final neck closure was done with a V-Y plasty. Reconstruction of large medial cheek skin defects. None General and local anaesthesia 1/ Hufschmidt K, Bozec A, Camuzard O, Clerico C, Berguiga R, Dassonville O, Santini J, Poissonnet G. Versatility of cervicofacial flaps: Cervical-medial cheek flap for reconstruction in cutaneous substance loss of the inner cheek. Head Neck. 2018;40(12):2574-2582. 2/Boyette JR, Vural E. Cervicofacial advancement-rotation flap in midface reconstruction : forward or reverse ? Otolaryngol Head Neck Surg. 2011;144(2):196-200.

Shooting date : 2019-02-19
Last update : 2021-06-24
1 comment
Join the Discussion
  • Jean Gary M. Cette plaie etait bien circonstricte et ne donnait pas trop de dufficulte dans la reconstruction mais il y en a des plaies pour lesquelles cette methode ne pourrait appliquee. He vous envoie une

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    Scroll Up