A case of reconstruction of upper cheek with subcutaneous island pedicle flap

Subcutaneous island pedicle flap is a kind of advancement flap and provides a blood supply by the vascular pedicle. It guarantees a small wound, less tension, but sometimes leaves cosmetic problems like a triangular or trap-door scar. Generally, reconstruction of the upper cheek with subcutaneous island flap is not a good choice. A rotation flap or simple elliptical excision is relatively easy and gives a better cosmetic result. However, our patient had a long history of taking blood thinning medication and the location of cancer was close to the eyes and nose. Therefore, we chose subcutaneous island pedicle flap and got relatively good cosmetic results without severe bleeding or distortion of the eyes and nose.