Head and Neck SurgeryReconstruction of Large Cheek Defect With/Without Sideburn Using Malar-Posterior Auricular-Cervico FlapHayashi, Toshihiko MD, DDS, PhD; Yamamoto, Yuhei MD, PhD; Oyama, Akihiko MD, PhD; Funayama, Emi MD, PhD; Shichinohe, Ryuji MD, PhD; Murao, Naoki MD, PhD; Furukawa, Hiroshi MD, PhD Author Information From the *Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, and †Department of Oral and Maxillofacial Surgery, Graduate School of Dental Medicine, Hokkaido University, Sapporo, Japan. Received March 23, 2015, and accepted for publication, after revision May 8, 2015. Conflicts of interest and sources of funding: none declared. Reprints: Toshihiko Hayashi, MD, Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Hokkaido University, Kita15, Nishi 7, Kitaku, Sapporo, 060-8638, Japan. E-mail: [email protected]ifty.com. Annals of Plastic Surgery: August 2016 - Volume 77 - Issue 2 - p 173-177 doi: 10.1097/SAP.0000000000000575 Buy Metrics Abstract The cheek region is the most common site for malignant tumor occurrence and the treatment of malignant skin tumor requires extensive local excision. Many previous reports have covered methods of reconstruction using local flaps for skin defects in the cheek region. In this article, we describe our experience with a surgical reconstruction using a new flap method for 8 patients with missing tissue in the cheek region. This flap is based on the concept of separately designing the flap with the 3 areas comprising the malar, posterior auricular, and cervical regions. We named the flap containing these 3 regions the malar-posterior auricular-cervico flap. Esthetically satisfactory outcomes were achieved in all cases. In conclusion, we recommend our malar-posterior auricular-cervico flap to reconstruct the tissue defects of approximately 20 to 40 cm2 after tumor excision in the cheek region. If preauricular skin is included in the design of this flap, the sideburn can be reconstructed using a part of the nape region with hair. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.