More than just the helix: A series of free flaps from the ear.
Microsurgery
; 38(6): 611-620, 2018 Sep.
Article
em En
| MEDLINE
| ID: mdl-28370229
ABSTRACT
AIM:
We herein present our experience using free flaps harvested from the ear region in facial, nasal and intraoral reconstruction. PATIENTS ANDMETHODS:
Between 2011 and 2016, 19 patients underwent reconstruction using 20 free flaps from the ear region based on the superficial temporal vessels. There were 10 males and 9 females with a mean age of 57 years. Defect aetiology consisted of post-tumour ablation (n = 15), trauma (n = 2) and burn scar (n = 2). Defect location involved the nose (n = 13), floor of mouth (n = 3), tongue (n = 1), lower eyelid (n = 1), and lower lip (n = 1).RESULTS:
Twelve helical, seven temporal artery posterior auricular skin (TAPAS), and one hemiauricular flap were performed. One patient required venous re-anastomosis but complete flap necrosis eventually occurred. This patient later underwent successful contralateral helix flap reconstruction. Overall flap survival was 95%. Follow-up ranged from 12 to 69 months. A moderate to excellent aesthetic and functional outcome was achieved in all cases, but most (13/19) required later minor refinement surgery.CONCLUSION:
As a versatile source of free flap options, the ear can provide more than just the helix.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Orelha
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Traumatismos Faciais
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Retalhos de Tecido Biológico
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Procedimentos Cirúrgicos Dermatológicos
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Neoplasias de Cabeça e Pescoço
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Microcirurgia
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Microsurgery
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Finlândia