Document Detail


Versatility of the bilobed cervical skin flap for total ear reconstruction in the unfavorable temporoauriculomastoid region.
MedLine Citation:
PMID:  16932173     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The unfavorable temporoauriculomastoid region is a serious clinical problem that makes total ear reconstruction a real challenge. In patients who have it, all local flap solutions to provide skin coverage to the cartilage frame are precluded because of loss and/or severe scarring of the regional skin in association with loss of the axial vascularity of the region. In the current literature, all available techniques for these patients are lengthy and risky free flap procedures that can provide a poor quality of skin coverage with no aesthetic harmony at best. In this article, the authors describe the use of the bilobed cervical flap as a new technique for providing skin coverage in total ear reconstruction for patients with an unfavorable temporoauriculomastoid region.
METHODS: Over a period of 6 years, the technique was used in seven patients between the ages of 19 and 52 years. In all patients, the entire skin of the temporoauriculomastoid region was either lost or badly scarred. Moreover, use of the ipsilateral temporoparietal fascia was not possible because of impaired axial vascularity of the region.
RESULTS: Except for mild venous congestion at the distal part of the primary flap, the flaps healed uneventfully in all patients. The patients were followed up for 1 to 4 years. The results were excellent in all patients.
CONCLUSIONS: Providing a thin, pliable, hairless, and well-vascularized skin cover with a perfect color match, the bilobed cervical flap seems to be a useful solution to overcome the skin coverage dilemma in patients with an unfavorable temporoauriculomastoid region.
Authors:
Mehmet Mutaf; Daghan Isk; Bekir Atik; Omer Bulut
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  118     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-25     Completed Date:  2006-09-25     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  652-62     Citation Subset:  AIM; IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, University of Gaziantep School of Medicine, Turkey. doctormutaf@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Adolescent
Adult
Amputation, Traumatic / surgery*
Animals
Bites and Stings / surgery
Burns / surgery*
Carcinoma, Squamous Cell / surgery
Child
Cicatrix / surgery*
Dogs
Ear Neoplasms / surgery
Ear, External / injuries,  surgery*
Facial Injuries / surgery*
Female
Humans
Male
Middle Aged
Reconstructive Surgical Procedures*
Surgical Flaps*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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