Advanced gourd-shaped flap with frontal branch of superficial temporal artery for defects after resection of per-auricular tumor
10.3760/cma.j.issn.1009-4598.2017.06.005
- VernacularTitle: 颞浅动脉额支葫芦形皮瓣推进修复颞下区耳前肿瘤切除术后创面
- Author:
Qun LIANG
1
;
Xiujun TANG
;
Zairong WEI
;
Dali WANG
;
Bo WANG
;
Xueqin ZENG
Author Information
1. Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi 563000, China
- Publication Type:Clinical Trail
- Keywords:
Advancement skin flap;
Neoplasms
- From:
Chinese Journal of Plastic Surgery
2017;33(6):423-426
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the therapeutic effect of advanced gourd-shaped flap with frontal branch of superficial temporal artery for defects after resection of per-auricular tumor.
Methods:From June 2012 to September 2016, 9 cases with pre-auricular tumor, including 7 cases of basal cell cancer and 2 cases of squamous cell carcinoma, received extended resection operation. The tumor size ranged from 0.5 cm×1.0 cm to 1.0 cm×2.0 cm.Intraoperative frozen specimen was used to make sure no invasion at margin and defect bottom. Based on the size and location of defects, the advanced gourd-shaped flap with frontal branch of superficial temporal arterywas designed to cover the defect. The wounds at donor sites were closed directly. The flap size ranged from 2.0 cm× 5.0 cm to 3.0 cm× 7.5 cm.
Results:The flaps in all the 9 cases survived completely with primary healing and no complication, like facial paralysis or abnormal feeling. The patients were followed up for 6-36 months with inconspicuous scarandno tumor relapse. Satisfactory cosmetic and functional result can be achieved. The flaps had good match in color with the surrounding tissue.
Conclusions:The advanced gourd-shaped flap with frontal branch of superficial temporal arteryhas a reliable blood supply and flexible transverse method with satisfactory cosmetic result. It is one of the ideal method for reconstruction of pre-auricular soft tissue defects.
