| Reconstruction after total parotidectomy using a de-epithelialized free flap. | |
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MedLine Citation:
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PMID: 17954031 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Total parotidectomy has aesthetic and functional sequelae, including Frey' syndrome and soft tissue depression of the region. The aim of repair is to reduce these problems, importing tissue into the surgical field to fill the region and to avoid Frey's syndrome. The soft tissues to use are those which are not resorbed in order to have a stable aesthetic result. OBJECTIVE: To propose a new method for avoiding negative functional and aesthetic sequelae of total parotidectomy. PATIENTS: Two patients underwent total parotidectomy because of recurrent sialoadenolithiasis in one case and for adenocarcinoma in the other. Immediate repair was obtained with a de-epithelialized parascapular free flap: both cases required thinning of the flap secondarily under local anaesthesia. RESULTS: Aesthetic results were good in both cases. No patient developed Frey's syndrome. CONCLUSION: Among the many techniques that have been proposed for this purpose, the de-epthelialized parascapular free flap guarantees an adequate amount of tissue with good vascularization and leads to a pleasing and stable result. |
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Authors:
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Federico Biglioli; Luca Autelitano |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2007-10-22 |
Journal Detail:
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Title: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery Volume: 35 ISSN: 1010-5182 ISO Abbreviation: J Craniomaxillofac Surg Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-12-07 Completed Date: 2008-03-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8704309 Medline TA: J Craniomaxillofac Surg Country: Scotland |
Other Details:
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Languages: eng Pagination: 364-8 Citation Subset: D; IM |
Affiliation:
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Department of Maxillo-Facial Surgery, San Paolo University Hospital, Milan, Italy. federico.biglioli@unimi.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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surgery Aged Esthetics Female Humans Male Middle Aged Parotid Diseases / surgery Parotid Gland / surgery* Parotid Neoplasms / surgery Reconstructive Surgical Procedures / methods* Salivary Duct Calculi / surgery Skin Transplantation / methods Subcutaneous Fat / transplantation Surgical Flaps* Sweating, Gustatory / prevention & control |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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