Reconstruction for Skin Defects Occurring due to Resection of Midface Malignancies with Cervicofacial Advancement–Rotational Flap

This study aims to present surgical experience and clinical outcomes regarding the reconstruction for malignancy-induced midfacial skin defects using varying patterns of cervicofacial advancement–rotational flaps (CARFs).

This is a descriptive study, and 25 patients with midfacial skin defect participated in this study. Defect repair was performed using CARF and descriptive statistics were used in data analysis.

The CARF was designed over perforators arising from branches of the anterior-based external carotid artery in all patients. 48% of the patients developed midfacial skin defects due to basal cell carcinoma, and 40% due to squamous cell carcinoma. Two patients developed ectropion, one patient developed base positivity, and one patient developed necrosis distal to the flap.

The CARF has a good pattern and minimal tension, thus closing midface skin defects without bunching. The reconstruction for midfacial skin defects with CARF decreases both functional and aesthetic morbidity and improves patient outcomes.