Reconstruction of a scalp defect due to cochlear implant device extrusion using a temporoparietal fascia flap and a split-thickness skin graft from the scalp
- Author:
Jae Kyoung KANG
1
;
Jae Seong LEE
;
Michelle SUH
;
Gil Chae LIM
;
Myoung Soo SHIN
;
Byung Min YUN
Author Information
- Publication Type:Case Report
- Keywords: Cochlear implants; Reconstructive surgical procedures; Surgical flaps
- MeSH: Cochlear Implants; Esthetics; Fascia; Female; Humans; Middle Aged; Reconstructive Surgical Procedures; Scalp; Schizophrenia; Skin Ulcer; Skin; Surgical Flaps; Temporal Arteries; Tissue Donors; Transplants
- From:Archives of Craniofacial Surgery 2019;20(5):319-323
- CountryRepublic of Korea
- Language:English
- Abstract: Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Coverage of TPFF was achieved with a split-thickness skin graft using the scalp as the donor site, which led to a quick recovery after the operation and satisfactory results in terms of aesthetics. This case suggests that a TPFF might be used as a flexible flap with low donor site morbidity for reconstructing cases of cochlear implant extrusion accompanied by a large full-layer scalp defect.
