Department of Otorhinolaryngology, Ondokuz Mayıs University, Samsun, Turkey.
University of Health Sciences, Samsun Training and Research Hospital Otorhinolaryngology Department, Samsun, Turkey.
Eur Arch Otorhinolaryngol. 2024 Dec;281(12):6621-6625. doi: 10.1007/s00405-024-08876-7. Epub 2024 Sep 21.
The auricular fillet flap (AFF) is also used to reconstruct defects of the periauricular region and scalp.The aim of this study was to evaluate patients in whom the total AFF was used to reconstruct defects formed after the resection the skin of the auricular and parotid regions.
Seven patients, who presented at the researchers' hospital between January 2017 and July 2020 with masses involving, to different degrees, the parotid region, the periauricular region, the external auditory canal, or the auricular anterior surface skin were retrospectively evaluated.
The study retrospectively analyzed seven patients aged 71 to 92 (mean: 80.3 years), including two females (28.5%) and five males (71.5%). The defective region, formed as a result of surgery, was reconstructed with the TAFF in all patients. One patient developed a blood circulation deficiency at first but recovered within a week, while there were no problems with blood circulation or compatibility of the flaps in the other six patients.
The researchers recommend using the TAFF as an alternative flap for reconstructing defects of the skin of the auricular and parotid regions. This reconstruction method can be achieved in one session and offers acceptable aesthetic results.
耳屏皮瓣（AFF）也用于重建耳周和头皮缺损。本研究旨在评估因切除耳周和腮腺区域皮肤而形成缺损的患者，使用全 AFF 进行重建的情况。
2017 年 1 月至 2020 年 7 月，7 名患者因累及腮腺区、耳周区、外耳道或耳廓前表面皮肤不同程度的肿块就诊于研究者所在医院，对这些患者进行回顾性评估。
本研究回顾性分析了 7 名年龄 71 至 92 岁（平均 80.3 岁）的患者，包括 2 名女性（28.5%）和 5 名男性（71.5%）。所有患者均采用 TAFF 重建因手术形成的缺损区域。1 名患者最初出现血液循环不良，但在 1 周内恢复，而其余 6 名患者的皮瓣血液循环或相容性均无问题。
研究者建议将 TAFF 作为重建耳周和腮腺区域皮肤缺损的替代皮瓣。这种重建方法可在一次手术中完成，且可获得可接受的美学效果。
