Free vascularized parascapular fat flap for parotidectomy reconstruction. Am J Otolaryngol 2021;42(5):103028
Date
04/14/2021Pubmed ID
33848769Pubmed Central ID
PMC8975255DOI
10.1016/j.amjoto.2021.103028Scopus ID
2-s2.0-85103925203 (requires institutional sign-in at Scopus site)Abstract
OBJECTIVE: The contour defect resulting after parotidectomy can be cosmetically unappealing. Multiple reconstructive efforts have been reported to mitigate this problem. We describe a novel technique of vascularized parascapular fat reconstruction based on the circumflex scapular vessels and evaluate its outcomes.
METHODS: Consecutive patients who underwent parotidectomy with or without additional resections and vascularized parascapular fat flap reconstruction in 2020 were included. Demographic, morphologic, intraoperative, and postoperative data were assessed.
RESULTS: Eight patients (3 female) were included. Median cut-to-close time was 247 (range 209-298) minutes, including tumor ablation. None of the patients had any wound complications, and all except one was discharged on postoperative day 1. Flap monitoring was not performed. None reported any significant donor site morbidity except scar formation. At last follow up, all patients reported satisfactory facial contour.
CONCLUSION: Vascularized parascapular fat flap reconstruction of parotidectomy contour defects has satisfactory cosmetic outcomes with minimal morbidity and short hospitalization courses.
Author List
Lee JJ, Wood CB, Puram SV, Zenga J, Bollig CA, Pipkorn PAuthor
Joseph Zenga MD Assistant Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Face
Female
Follow-Up Studies
Free Tissue Flaps
Humans
Length of Stay
Male
Middle Aged
Operative Time
Parotid Gland
Parotid Neoplasms
Postoperative Complications
Retrospective Studies
Treatment Outcome
