Parascapular adipofascial free flap for post-parotidectomy reconstruction

Résumé fourni par la source

Background Facial contour defects after parotidectomy are an important aesthetic consideration. While free fat grafts are frequently utilized to restore facial volume, their long-term durability can be variable and volume under-correction due to fat necrosis is a recognized disadvantage, particularly in patients requiring adjuvant radiation. 1 Parascapular vascularized free fat flaps offer an attractive alternative reconstructive approach; in our institutional experience, they can confer more predictable and stable volume of fat transferred with minimal donor site morbidity. 2 Herein, we present our approach to adipofascial parascapular free flap harvest for post-parotidectomy facial defects. Methods This video demonstrates vascularized free parascapular fat flap harvest for reconstruction of a parotidectomy defect. Approaches and techniques are reviewed. Results We highlight the technical aspects of parascapular free flap reconstruction after resection of a 3.5 cm pleomorphic adenoma in a 32-year-old male. Total parotidectomy with preservation of facial nerve was performed. The cumulative cut-to-close time for ablation and microvascular reconstruction was 210 min. Conclusion Adipofascial parascapular free flap is an attractive reconstructive option for parotidectomy defects with facial contour distortion.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.