Fifty free flaps from the ear

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2024-09-29 DOI:10.1016/j.bjps.2024.09.082

M. Zena , P. Homsy , E. Romanowski , A. Lindford , P. Lassus

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引用次数: 0

Abstract

Background

Reconstruction of facial and intraoral defects is often challenging. Local pedicled flaps may not always be available and distant free flaps usually have suboptimal color match and texture for the facial area. The aim of this study was to assess whether auricular free flaps are a valid reconstructive option.

Methods

Clinical data and outcomes of patients who underwent reconstruction with microsurgical flaps from the ear between 2011 and 2021 were analyzed. Patient demographic data, type of flaps, etiology, location and size of the defect, features of the pedicle and recipient vessels, complications, and additional surgeries were reviewed.

Results

Overall, 48 patients with 50 microsurgical flaps were identified. Thirty-one patients (65%) were men and 17 were (35%) women. The median age was 62 years. Among the 50 flaps, 26 (52%) were helix flaps, 20 (40%) were temporal artery posterior auricular skin flaps, and 4 (8%) were extended helix flaps. The nose was the most frequently reconstructed region (n = 32, 64%), followed by the tongue (n = 6, 12%), floor of the mouth (n = 5%), lower eyelid (n = 2%), and in one (2%) patient each, restoration of the upper eyelid, ear, larynx, esophagus, lower lip, and palate. The median follow-up was 74 months. Three flaps (6%) were lost, and the overall rate of complications was 46%. Surgical intervention was required in 7 (14%) cases. All cases healed with acceptable cosmesis.

Conclusions

The ear is a valuable source of tissue for complex reconstructions of the face and intraoral regions. However, this technique is surgically demanding and should be reserved for selected cases.

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耳部 50 个自由瓣

背景面部和口腔内缺损的重建通常具有挑战性。局部带蒂皮瓣不一定总是可用，而远处游离皮瓣的颜色匹配和质地通常不适合面部区域。本研究旨在评估耳廓游离皮瓣是否是一种有效的重建选择。方法分析了2011年至2021年间接受耳廓显微外科皮瓣重建的患者的临床数据和结果。回顾了患者的人口统计学数据、皮瓣类型、病因、缺损的位置和大小、基底和受体血管的特征、并发症以及额外的手术。男性患者 31 例（占 65%），女性患者 17 例（占 35%）。中位年龄为 62 岁。在 50 个皮瓣中，26 个（52%）是螺旋皮瓣，20 个（40%）是颞动脉后耳廓皮瓣，4 个（8%）是扩展螺旋皮瓣。重建最多的部位是鼻子（32 例，占 64%），其次是舌头（6 例，占 12%）、口底（5%）、下眼睑（2%），另有 1 例患者（2%）修复了上眼睑、耳朵、喉咙、食道、下唇和上颚。中位随访时间为 74 个月。有 3 个皮瓣（6%）脱落，并发症的总发生率为 46%。7例（14%）需要手术治疗。结论耳部是面部和口腔内区域复杂重建的重要组织来源。然而，这种技术对手术要求较高，应保留给特定病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.