Applications of Kite Flap in Reconstruction of Cheek Defects after Tumor Excision

Cutaneous carcinomas of the cheek may involve the epidermis, dermis, and subcutaneous tissues that overlie the superficial musculo-aponeurotic system (SMAS) (in fact skin cancer can involve even deeper structures of the face) [1, 2]. The cheek has bordering subunits that help dictate the primary goal in cheek reconstruction: avoidance of deformation of the surrounding structures. Surgeons must recognize the safety margins of the adjacent structures, including the lower eyelid, nasal ala, and lip, to adhere to the priority goals of first preserving function and second achieving cosmesis [3]. Surgical reconstruction of the cheek remains a challenging aspect of facial plastic and reconstructive surgery.