The periosteal‐cutaneous chimeric medial femoral condyle free flap for subtotal ear reconstruction: A case report

Summa, Pietro G. di; Sapino, Gianluca; Zaugg, Patrice; Raffoul, Wassim; Garcı́a-Dorado, David

doi:10.1002/micr.30657

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Indeed, ear, temporo-mandibular-joint, tracheal, and cricoid reconstruction are examples of possible MFC-FF applications that were found during the systematic review but did not match the inclusion criteria. 55–58 Furthermore, no publication bias assessment method was conducted, as results were relatively homogeneous and close to the standard free flap failure rate.…”

Section: Discussionmentioning

confidence: 99%

Medial Femoral Condyle Free Flap: A Systematic Review and Proportional Meta-analysis of Applications and Surgical Outcomes

Scampa,

Mégevand,

Martineau

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Recalcitrant bone nonunion and osseous defect treatment is challenging and often requires vascularized bone transfer. The medial femoral condyle flap has become an increasingly popular option for reconstruction. The study aims at reviewing its different applications and synthesizing its surgical outcomes. Method: A systematic review including all studies assessing surgical outcomes of free medial femoral condyle flap for bone reconstruction in adults was conducted on January 31, 2023. Flap failure and postoperative complications were synthesized with a proportional meta-analysis. Results: Forty articles describing bony reconstruction in the head and neck, upper limb, and lower limb areas were selected. Indications ranged from bony nonunion and bone defects to avascular bone necrosis. Multiple flaps were raised as either pure periosteal, cortico-periosteal, cortico-cancellous-periosteal, or cortico-chondro-periosteal. A minority of composite flaps were reported. Overall failure rate was 1% [95% confidence interval (CI), 0.00–0.08] in head & neck applications, 4% in the lower limb (95% CI, 0.00–0.16), 2% in the upper limb (95% CI, 0.00–0.06), and 1% in articles analyzing various locations simultaneously (95% CI, 0.00–0.04). Overall donor site complication rate was 4% (95% CI, 0.01–0.06). Major reported complications were: femoral fractures (n = 3), superficial femoral artery injury (n = 1), medial collateral ligament injury (n = 1), and septic shock due to pace-maker colonization (n = 1). Conclusion: The medial femoral condyle flap is a versatile option for bone reconstruction with high success rates and low donor site morbidity.

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Section: Discussionmentioning

confidence: 99%

Medial Femoral Condyle Free Flap: A Systematic Review and Proportional Meta-analysis of Applications and Surgical Outcomes

Scampa,

Mégevand,

Martineau

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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“…1,12 This poses a limitation, as the SGA's shorter pedicle leads to higher risk of flap complications and failure, much like the iliac crest. 1,12,13,25,26 Laryngotracheal region 19,[32][33][34] Mandible 6,13,22,24,35,36 Maxillary alveolus 13,[19][20][21]37 Orbit 16,20 Palate 13,20 Other facial bony structures 19,[38][39][40] Problematic nonunions 6,20,36 Failed nonvascularized bone grafts 13,19,20,37 Recalcitrant defects 19,20,37 Osteoradionecrosis 13,16,20,22,24 Fig. 2.…”

Section: Discussionmentioning

confidence: 99%

Expanding Indications of the Medial Femoral Condyle Free Flap: Systematic Review in Head and Neck Reconstruction

Patel

Tipps

Bartlett

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background:The medial femoral condyle free flap serves as an attractive reconstructive option for small-to intermediate-sized bony defects. It is commonly applied in the extremities with limited reports in the head and neck. Methods: A systematic review of the literature was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: Seventeen articles met inclusion criteria, yielding 166 cases for analysis, with a majority of the cohort from a single study (n = 107; 64.4%). However, all included studies represented novel reconstructive sites and surgical indications. Flap components were described in 157 cases; periosteum was used only in four cases (2.5%), whereas all others are composed of cortical bone combined with periosteum, cancellous bone, and/or cartilage (97.5%). Additionally, a skin island was used in 43 cases (25.9%). Flap measurements were reported in 51 cases, averaging 4.5 ± 2.7 cm in length. Seven cases listed skin island dimensions, averaging 20.2 ± 12.8 cm 2 . The descending genicular artery was the primary pedicle employed (n = 162; 97.6%), while the superior medial genicular was used in the descending genicular artery's absence (n = 4; 2.4%). Descending genicular artery pedicle length from 15 reporting cases averaged 6.4 ± 1.2 cm. Successful reconstructions totaled 160 cases (96.4%). Recipient complications were seen in 16 cases (9.6%) with six constituting flap failures (3.6%). Donor site complications were minimal (n = 6; 3.6%); however, this included one major complication of femoral shaft fracture. Conclusion:The medial femoral condyle free flap is an effective reconstructive option for the head and neck due to its versatile nature, low complication profile at both recipient and donor site, ease of harvest, and two-team approach.

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Advances in the Application of Microsurgical Techniques in Repairing Traumatic Auricular Defects

Wei,

Chen,

Dong

2024

Journal of Craniofacial Surgery

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Objectives: Auricular reconstruction is one of the most challenging procedures in plastic surgery. However, traumatic auricular defects present more uncertainty and complexity than congenital microtia with various surgical options in auricular reconstruction. The purpose of this article is to review advances in the use of microsurgical techniques for the treatment of traumatic ear defects. Methods: Three databases, PubMed, Web of Science, and Google Scholar, have been used to gather the most relevant papers discussing the topic. This paper searched for studies from 1980 to 2023: searching for a range of keywords such as “post-traumatic ear deformities,” “free flap,” and “free facial flap.” Using this method, studies related to free flaps in posttraumatic ear reconstruction were reviewed and discussed. Results: Fifty-four studies related to auricular reconstruction using different free flaps were obtained through screening. Conclusion: The microsurgical technique for auricular reconstruction requires both exceptional auricular reconstruction skills and microsurgical expertise due to its intricate nature. Nevertheless, microsurgical techniques remain a valuable avenue of investigation and can provide satisfactory surgical outcomes in appropriately selected patients. Level of Evidence Level V.

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The periosteal‐cutaneous chimeric medial femoral condyle free flap for subtotal ear reconstruction: A case report

Cited by 3 publications

References 14 publications

Medial Femoral Condyle Free Flap: A Systematic Review and Proportional Meta-analysis of Applications and Surgical Outcomes

Medial Femoral Condyle Free Flap: A Systematic Review and Proportional Meta-analysis of Applications and Surgical Outcomes

Expanding Indications of the Medial Femoral Condyle Free Flap: Systematic Review in Head and Neck Reconstruction

Advances in the Application of Microsurgical Techniques in Repairing Traumatic Auricular Defects

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