Natural sideburn reconstruction with retroauricular expanded flap with original hairline
10.3760/cma.j.issn.1009-4598.2019.05.002
- VernacularTitle: 耳后皮肤头皮联合扩张皮瓣鬓角再造术
- Author:
Tiran ZHANG
1
;
Yihua CHEN
;
Liqiang LIU
;
Jincai FAN
;
Cheng GAN
;
Jia TIAN
;
Zengjie YANG
;
Hu JIAO
;
Hua ZHANG
;
Hongbo CHEN
Author Information
1. Department of Plastic Surgery Hospital, Chinese Academy Medical Science, Peking Union Medical College, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Soft tissue expansion;
Surgical flap;
Retroauricular flap;
Hairline;
Sideburn reconstruction
- From:
Chinese Journal of Plastic Surgery
2019;35(5):425-429
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce a reconstruction procedure of natural sideburn, with combined expanded retroauricular flap and scalp flap.
Methods:A retrospective study was produced in Plastic Surgery Hospital, PUMC, from January 2014 to December 2017. Twenty patients (21 sides) underwent sideburn reconstruction with combined expanded retroauricular flap and scalp flap (double pedicled flap, n=3; single pedicled flap, n=17) were included in this study. There were 12 male (12 sides) and 8 female (9 sides), with the mean age of (23.8±3.2) years. The sideburn defect was caused by burn in 19 patients, and it was resulted from hemangioma in 1 patient.
Results:The size of flaps ranges from 8 cm×12 cm to 10 cm×16 cm. Venous congestion at the distal end of the flap occurred in 1 patient, which was cured after dressing change, and the sideburn was not affected. The reconstructed sideburns are natural, symmetric, and without obvious scar. The follow-up time was 3-40 months. Fourteen patients were very satisfied with the reconstructed sideburn, and 6 patients were satisfied. No severe complication was observed during follow-up time.
Conclusions:The combined retroauricular flap and scalp flap is an alternative method for sideburn reconstruction, which provide natural hair distribution, inconspicuous scars and less complications.
