Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
종설
후이부 피하조직-측두두정근막피판을 이용한 유양동절제술후 생긴 이후부 피부결손의 복구
장태영1, 황건*
Repair of Postauricular Skin Defect Developing after Mastoidectomy Using “Retroauricular Subcutaneous Tissue-Temporoparietal Fascia Flap”
Tae Young Chang1, Kun Hwang*
1Department of Otolaryngology Inha University Collage of Medicine, Inchon, Korea
*Plastic Surgery Inha University Collage of Medicine, Inchon, Korea
© Copyright 1994 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Published Online: May 31, 2020
ABSTRACT
Severe postmastoidectomy wound infection infrequently leaves large skin and soft tissue defects over postauricular area, which is ususlly quite difficult to repair by primary closure.
Using “Retroauricular subcutaneous tissue-temporoparietal fascia flap” whose main vessel of blood supply is posterior auricular artery, such defects could be successfully repaired in two patients who underwent revision mastoidectomy. In this axial pattern local scalp flap, distal semilunar potion of the flap had only subcutaneous tissue and temporoparietal fascia, which was slid into the postauricular defect area. This new flap approach can be useful in repairing postauricular skin and soft tissue defects following radical mastoidectomy.
Keywords: Mastoidectomy; Postauricular defect; Retroauricular subcutaneous tissue-temporoparietal fascia flap
