The Report about One Case of Simultaneous Reconstruction of Nose, Lip and Cheek Using Expanded Cylindrical Cervical Flap

Reconstruction of complex facial defects has always been a challenge for plastic surgeons. The reconstruction can be done by use of local, regional, distant and free flaps; each of these has its own advantages and disadvantages. In this article a technique is presented about how to reconstruct complex facial defects simultaneously. This presented technique has been used for a 45-year-old woman with severe destruction of nose, upper lip and right side of cheek due to progressive ulcerating lesion that had begun since about 20 years ago. By expansion of normal neck skin and suitable design and taking surgical steps in sequence, the nose, upper lip and left side of cheek were reconstructed by a cylindrical cervical flap. The result was satisfactory and donor site morbidity was minimal. The use of this flap can be feasible in selected cases in which the extent of facial injury is great but the neck is not damaged.