Temporoparietal fascia flap “sandwich” technique for repair of near‐total traumatic auricle avulsion

Kong, Derek Kai; Schutt, Christopher A.; Mehra, Saral

doi:10.1002/lary.25394

Cited by 6 publications

(5 citation statements)

References 19 publications

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“…TPF is a thin, pliable layer, which has been tested in various reconstructive techniques. [17][18][19][20] It can be extracted in significant size with low donor morbidity and can then be folded as needed for reconstruction. Its bioadaptability is well documented in ear and skull base reconstruction, most likely due to its high vascularization when used as a pedicled flap.…”

Section: Discussionmentioning

confidence: 99%

“…Its bioadaptability is well documented in ear and skull base reconstruction, most likely due to its high vascularization when used as a pedicled flap. 17,18,21 We, however, used the TPF as a free flap, and, despite being cut off of its blood supply, it seems to improve skin and mucosal healing. This was shown previously 19,22,23 and is corroborated by our results.…”

Section: Discussionmentioning

confidence: 99%

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Closure of Nasal Septal Perforations with a Polydioxanone Plate and Temporoparietal Fascia in a Closed Approach

Epprecht

Schlegel

Holzmann

et al. 2017

Am J Rhinol�Allergy

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Closure of Nasal Septal Perforations with a Polydioxanone Plate and Temporoparietal Fascia in a Closed Approach

Epprecht

Schlegel

Holzmann

et al. 2017

Am J Rhinol�Allergy

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“…[38][39][40][41][42] The flaps also have the potential to be sandwiched, eliminating the need for a distant skin graft, and if microvascular anastomosis is not possible. 43 Flaps can also be explicitly utilized in instances of trauma or prior failed repair. 44 Direct reattachments, such as composite grafts, are indicated only in extended lacerations, but can be achieved.…”

Section: Discussionmentioning

confidence: 99%

“…38 -42 The flaps also have the potential to be sandwiched, eliminating the need for a distant skin graft, and if microvascular anastomosis is not possible. 43 Flaps can also be explicitly utilized in instances of trauma or prior failed repair. 44…”

Section: Discussionmentioning

confidence: 99%

Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature

Favede

Bradshaw

Sethia

et al. 2022

Ann Otol Rhinol Laryngol

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Introduction: Near-total ear avulsion is a rare and challenging problem to repair with many techniques described; primary repair is an attractive option but is not always successful. Healing may be augmented with postoperative hyperbaric oxygen therapy (HBOT), but this technique is under-reported, and an ideal regimen is not known. The study objective is to discuss the role of HBOT in the management of ear avulsion by reviewing 2 unique cases. Methods: Case report and review of the literature. A Pubmed search using the terms ear avulsion and postoperative hyperbaric oxygen was performed. Results: Two pediatric patients presented with near-total avulsion of the auricle after suffering a dog bite. Various management options were discussed including observation, primary repair, post-auricular cartilage banking, graft reconstruction with periauricular tissue or rib cartilage, or microsurgical replantation. The decision was made to perform primary reattachment, followed by adjuvant hyperbaric oxygen therapy (HBOT). The patients achieved favorable esthetic results and continue to maintain the function of the reattached ear. Photo documentation was obtained throughout the process. Discussion: There is no consensus on the management of near-total ear avulsion. Primary repair is ideal from a cosmetic and ease-of-operation standpoint but does not always yield viable tissue. The use of postoperative HBOT is an attractive option that may boost success rates, but the ideal HBOT regimen is unknown. These cases represent a successful application of this innovative technique in a pediatric patient.

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“…The thin and malleable temporoparietal fascia (TPF) pedicled or free flap is an excellent tool in head and neck reconstruction. Extending laterally from the galea aponeurotica, the TPF is continuous with the superficial musculoaponeurotic system inferiorly; the flap has consistent vascular anatomy and is well suited to accept skin grafts 4. Numerous uses for the TPF pedicled or free flap have been characterized in the literature; here we present the use of a TPF free flap for the repair of a nasal septal perforation.…”

mentioning

confidence: 99%

Temporoparietal Fascia Free Flap for Nasoseptal Perforation Repair

Helman

Kadakia

Guthrie

et al. 2018

Craniomaxillofacial Trauma & Reconstruction

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Nasoseptal perforations can be a challenging defect for the reconstructive surgeon, with repair limited by the surrounding tissue availability and the defect size. In patients with a history of cocaine use, often the integrity of surrounding vasculature is questionable and large defects may not be well suited for local reconstruction. In the otolaryngology literature, several reconstructive options using local tissue and synthetic materials have been described, but there have been no reports of microvascular free flaps utilized in this regard. We present a unique case of a 37-year-old woman with a 3.0 cm × 3.5 cm nasoseptal perforation secondary to cocaine use successfully reconstructed with a temporoparietal fascia free flap anastomosed to the facial artery and vein. Postoperatively, the patient had a well-healed septal defect from the free flap reconstruction This new technique shows promise as a feasible option for patients with large defects and for those with limited local reconstructive options. The ease of harvest and low donor-site morbidity make the temporoparietal fascia flap a suitable option for repair of complex nasoseptal defects.

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Temporoparietal fascia flap “sandwich” technique for repair of near‐total traumatic auricle avulsion

Abstract: NA Laryngoscope, 126:826–828, 2016

Cited by 6 publications

References 19 publications

Closure of Nasal Septal Perforations with a Polydioxanone Plate and Temporoparietal Fascia in a Closed Approach

Closure of Nasal Septal Perforations with a Polydioxanone Plate and Temporoparietal Fascia in a Closed Approach

Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature

Temporoparietal Fascia Free Flap for Nasoseptal Perforation Repair

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