One Approach, Three Procedures: The Cervicofacial/Pectoral Rotation Flap in Maxillofacial Oncologic Surgery

SUMMARY Reconstruction of large soft tissue defects in the cheek and orbital region is a difficult task. A good functional and aesthetic result must be achieved. The cervicofacial (CF) rotation flap and its variant the cervicopectoral (CP) flap have many advantages; they are easy, quick and safe to raise, and are compatible with cervical dissection and radiotherapy. The cervicofacial and cervicopectoral rotation flaps are very versatile flaps that can be applied to a variety of defects of the cheek, orbit, periauricular region and neck. These advancement and/or rotation flaps should be a staple of the head and neck surgeon's reconstructive armamentarium. This article describes our experience with the single-incision technique of the cervicofacial/pectoral flap in patients with head and neck cancer, especially in the middle third of the face, with neck dissection and reconstruction, in a single surgical stage.