Controversies in Parotid Defect Reconstruction

Tamplen, Matthew; Knott, P. Daniel; Fritz, Michael A.; Seth, Rahul

doi:10.1016/j.fsc.2016.03.002

Cited by 13 publications

(10 citation statements)

References 34 publications

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“…Parotidectomy is a common procedure performed in a highly cosmetic region and it is poised to benefit from advances in volume restorative techniques [111]. Even if many approaches have been proposed, the treatment of choice for post-parotidectomy deficit restoration is still missing [112], and invasive surgical procedures are related with the risk of facial nerve injuries. These reconstructions include a sternocleidomastoid flap rotated into the defect and elevating a superficial musculoaponeurotic flap prior to performing parotidectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Anterolateral thigh free flaps have been the "mainstay" of treatments due to variability in their size and shape, and the presence of large vessel calibers available for microvascular anastomosis [113]. Other options include the latissimus dorsi free flap, which is difficult to harvest, a high postoperative donor site morbidity, and a superficial inferior epigastric artery free flap, which has much smaller caliber vessels [112].…”

Section: Discussionmentioning

confidence: 99%

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Non-Surgical Touch-Up with Hyaluronic Acid Fillers Following Facial Reconstructive Surgery

Chirico¹,

Colella

Cortese

et al. 2021

Applied Sciences

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The use of hyaluronic acid (HA) injectable fillers has become increasingly widespread in facial recontouring and rejuvenation. We report our experiences to emphasize the role of HA fillers as tools beyond aesthetic treatments in cases of post-surgical facial sequelae. HA fillers are generally used for aesthetic rejuvenation, but one potential new horizon could be their application in trauma, reconstructive, and craniofacial surgery. This study was conducted retrospectively, evaluating medical reports of patients treated at the Maxillofacial Surgery Unit, University of Campania “Luigi Vanvitelli”, Naples, for lip incompetence, trauma, oncological, reconstructive, and craniosynostosis surgery sequelae. Visual analog scale (VAS) evaluation was performed to assess patient satisfaction. No major complications (i.e., impending necrosis or visual loss) were reported. Bruising and swelling was reported for 48 h after lip injection. At the immediate VAS evaluation, 67% of the patients were “extremely satisfied” and 33% “satisfied”. In those 33%, VAS scores changed to “extremely satisfied” at 6–9 weeks and 3–6 months of VAS evaluation (contextually to improvement in tissue flexibility, elasticity, and aesthetic appearance). Results indicate that this minimally invasive approach achieves a high level of aesthetic enhancement, improving patient satisfaction. The concept of HA filler applications could be a frontier that may be applicable to other areas of reconstructive facial plastic surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Non-Surgical Touch-Up with Hyaluronic Acid Fillers Following Facial Reconstructive Surgery

Chirico¹,

Colella

Cortese

et al. 2021

Applied Sciences

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“…There are several advantages to reconstructing skin defects after parotid carcinoma surgery using bilobed flaps. 4–8 First, a bilobed flap has a degree of skin activity that facilitates wound closure. 4 In advanced parotid carcinoma, RT is required as soon as possible after surgery, and a bilobed flap makes this possible with a high success rate and fewer complications.…”

Section: Discussionmentioning

confidence: 99%

Bilobed flap reconstruction for skin defects after parotid carcinoma surgery

et al. 2021

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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.

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“…17 It acts as an ideal alternative for tissue augmentation and barriers to preventing FS and facial depression after parotidectomy. 18,19 The purpose of the present retrospective study was to investigate the complications and esthetic effects of ADM after parotidectomy.…”

Section: Introductionmentioning

confidence: 99%

Effects of acellular dermal matrix on the prevention of complications and esthetic outcome after parotidectomy: A propensity score matched analysis

Jianliang

Zeng

et al. 2021

Ear Nose Throat J

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Objective The present study was designed to investigate whether acellular dermal matrix (ADM) grafts could prevent Frey’s syndrome (FS) and improve esthetic scores following parotidectomy. Methods From January 2015 to December 2019, 175 patients underwent parotidectomy. We divided the patients into two groups: the ADM group and the control group. We included in each group 30 patients according to a propensity score matched analysis. Results FS was subjective in 1 patient (3%) from the ADM group and 9 patients (30%) from the control group ( P=0.015). Patients in the ADM group had a subjective esthetic score of 6.1 + 1.7 compared with 5.2 + 1.7 in the control group. The subjective esthetic score for patients in the ADM group was higher than that for patients in the control group ( P =0.040). Conclusion The present clinical study suggests that ADM grafts are effective in preventing FS and improving esthetic scores after parotidectomy.

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Controversies in Parotid Defect Reconstruction

Cited by 13 publications

References 34 publications

Non-Surgical Touch-Up with Hyaluronic Acid Fillers Following Facial Reconstructive Surgery

Non-Surgical Touch-Up with Hyaluronic Acid Fillers Following Facial Reconstructive Surgery

Bilobed flap reconstruction for skin defects after parotid carcinoma surgery

Effects of acellular dermal matrix on the prevention of complications and esthetic outcome after parotidectomy: A propensity score matched analysis

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