Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-26T08:47:13.218Z Has data issue: false hasContentIssue false

Bilobed flap reconstruction for skin defects after parotid carcinoma surgery

Published online by Cambridge University Press:  04 October 2021

D H Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
E K Jung
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
J K Lee*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
S C Lim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
*
Author for correspondence: Joon Kyoo Lee, Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, 322 Seoyang-ro, Hwasun, Jeonnam, South Korea58128 E-mail: joonkyoo@jnu.ac.kr Fax: +82 61 379 7761

Abstract

Objective

To analyse the treatment results of bilobed flap reconstruction performed for skin defects after parotid carcinoma surgery.

Method

Ten patients who underwent bilobed flap reconstruction for skin defects after parotid carcinoma surgery in our hospital, from 2014 to 2020, were retrospectively enrolled.

Results

All patients underwent bilobed flap reconstruction for skin defects after parotid carcinoma surgery. The size of the skin defect was 2.7 × 2.2 cm in the smallest dimension and 9.0 × 6.3 cm in the largest dimension. All bilobed flaps except one healed without any problems. One patient developed partial flap necrosis in the retroauricular region, and was treated with skin grafts after removal of the necrotic tissue under local anaesthesia. All bilobed flaps, including the cases in which skin grafts were performed, survived after post-operative radiotherapy or chemotherapy.

Conclusion

A bilobed flap is a good reconstruction option for skin defects after parotid carcinoma surgery in some cases.

Type
Main Articles
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr D H Lee takes responsibility for the integrity of the content of the paper

References

Irvine, LE, Larian, B, Azizzadeh, B. Locoregional parotid reconstruction. Otolaryngol Clin North Am 2016;49:435–46CrossRefGoogle ScholarPubMed
Kang, SY, Old, MO, Teknos, TN. Lateral arm free tissue transfer for parotid reconstruction: a pictorial essay. Head Neck 2017;39:1015–19CrossRefGoogle ScholarPubMed
Hung, MH, Liao, CT, Kang, CJ, Huang, SF. Local rhomboid flap reconstruction for skin defects after excising large parotid gland tumors. J Oral Maxillofac Surg 2017;75:225.e1–5CrossRefGoogle ScholarPubMed
Cai, YC, Shui, CY, Li, C, Sun, RH, Zhou, YQ, Liu, W et al. Primary repair and reconstruction of tumor defects in parotid masseter region: a report of 58 cases. Gland Surg 2019;8:354–61CrossRefGoogle ScholarPubMed
Ghanem, T. Parotid defects. Facial Plast Surg Clin North Am 2009;17:263–9CrossRefGoogle ScholarPubMed
Ch'ng, S, Ashford, BG, Gao, K, McGuinness, J, Clark, JR. Reconstruction of post-radical parotidectomy defects. Plast Reconstr Surg 2012;129:275–87eCrossRefGoogle ScholarPubMed
Kruse-Lösler, B, Presser, D, Metze, D, Joos, U. Surgical reconstruction after subtotal ear resection in malignant melanoma of the ear. J Eur Acad Dermatol Venereol 2006;20:190–6CrossRefGoogle ScholarPubMed
Tamplen, M, Knott, PD, Fritz, MA, Seth, R. Controversies in parotid defect reconstruction. Facial Plast Surg Clin North Am 2016;24:235–43CrossRefGoogle ScholarPubMed
Cass, ND, Terella, AM. Reconstruction of the cheek. Facial Plast Surg Clin North Am 2019;27:5566CrossRefGoogle ScholarPubMed
Lee, DH, Yoon, TM, Lee, JK, Lim, SC. Clinicopathologic factors associated with recurrence in parotid carcinoma. Braz J Otorhinolaryngol 2018;84:691–6CrossRefGoogle ScholarPubMed