Endoscope-Assisted Temporoparietal Fascia Harvest for Auricular Reconstruction

Abstract

The endoscope-assisted temporoparietal fascia harvest technique for auricular reconstruction can minimize scarring, alopecia, and surgical time, with comparable blood loss. Flap size is comparable to that of the traditional open approach. The authors recommend a broadly based pedicle instead of one based solely off the superficial temporal artery.

A True Single-Stage Reconstruction of a Projected Auricle for Concha-Type Microtia Incorporating Endoscopically Harvested Temporoparietal Fascia

“…The use of TPF flaps is considered mandatory to reduce complication rate with alloplast-based technique. Helling et al [16][17][18][19] described their results with a refined endoscopic-assisted technique for TPF harvest with Medpor-based reconstructions. Their experience has encouraged us to incorporate endoscopic technique into appropriate autologous reconstructions.…”

Endoscopic Harvest of a Temporalis Flap for a Maxillary Reconstruction

“…17,18 Other authors apply this technique in the treatment of facial palsy, 19Y21 osteomas, 22 lipomas, 23 and microvascular reconstruction of the ear. 24 To our knowledge, the harvest of a temporalis muscle flap for the reconstruction of a postmaxillectomy defect has not been described. We present the first case of an endoscopically assisted reconstruction of a maxillary process with a temporalis muscle flap through minimal incisions.…”

The temporoparietal fascia flap

“…Some authors advocate the endoscopic-assisted harvest of the TPFF to minimize the risk of alopecia. Helling et al [11] recently compared the open versus endoscopic harvest in 17 patients undergoing auricular reconstructions. None of the patients developed alopecia in the endoscopic group, whereas most open-technique patients had visible alopecia.…”