Reconstruction of complex tissue defects in temporal region: report of 3 cases.
10.3760/cma.j.cn115330-20200622-00522
- VernacularTitle:耳颞区不同程度复合组织缺损的修复：附三例报告
- Author:
Yu SU
1
;
Wei Dong SHEN
2
;
Jun LIU
2
;
Ming Bo LIU
1
;
Ying Li XIE
1
;
Wen Jia WANG
1
;
Pu DAI
2
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Hainan Hospital of PLA General Hospital, Sanya 572013, China Clinical Research Center for Otolaryngologic Diseases, Hainan 572013, China Institute of Otolaryngology, Chinese PLA General Hospital, Beijing 100853, China National Clinical Research Center for Otolaryngologic Diseases, Beijing 100853, China.
2. Institute of Otolaryngology, Chinese PLA General Hospital, Beijing 100853, China National Clinical Research Center for Otolaryngologic Diseases, Beijing 100853, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Reconstructive Surgical Procedures;
Retrospective Studies;
Skin Transplantation;
Temporal Lobe;
Treatment Outcome
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(5):487-492
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To discuss the techniques and repairing methods of various degree of compound tissue defects in the auriculotemporal region. Methods: Retrospective analysis was conducted on three cases of different repairing methods for huge compound tissue defects in different degrees in the auriculotemporal region after the resection of the malignant tumor or sinus tract due to repeated infection in our hospital. Results: Following total removal of the tumors or sinus tract in all patients, we applied retroauricular lingual flap transfer repairing, latissimus dorsi flap free transfer repairing and vascular anastomosis, scalp tissue expansion in stage Ⅰ, then repairing the lesion with expanded scalp and filling the huge mastoid cavity with abdominal fat in stage Ⅱ, respectively, according to the characteristics of compound tissue defects in the auriculotemporal region. All free flaps survived well. Conclusions: The anatomy of the auricular-temporal area is complex and involves important vascular and neural structures of head and neck and lateral skull base. The huge composite tissue defect following auriculotemporal region surgery, which is composed of skin, muscle and bone tissue, needs to be repaired in one stage. Therefore, flexible repairing methods should be chosen based on different situations, for attaining the goal of completely removing tumor and lesions, and then, covering the operation cavity.
