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Laryngoscope Investig Otolaryngol 2020 Jun 14;5(3):381-389. Epub 2020 Apr 14.

Department of Otolaryngology/Head and Neck Surgery University of North Carolina Health Care Chapel Hill North Carolina USA.

Objectives: Multiple surgical techniques exist in the acute management of auricular avulsion injuries, including reattachment of the tissue as a composite graft, reconstruction using local skin flaps, the pocket principle, the Baudet method, and microvascular repair. This review aimed to compare the success rates of reattachment methods in auricular avulsion injuries.

Methods: A PubMed search systematically identified cases in which (a) an auricular avulsion injury occurred and (b) reattachment was attempted. Read More

Plast Reconstr Surg 2020 May;145(5):1252-1261

Los Angeles, Calif.; and Utrecht, The Netherlands From the Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California; Cedars Sinai Medical Center; and the Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital.

Background: Because auricular reconstruction is a complex and relatively uncommon procedure, there are many patients that have had disappointing reconstructions. This study describes the authors' large experience with secondary procedures in patients with unsatisfactory or failed initial ear reconstruction.

Methods: A prospectively maintained database of all consecutive patients who underwent secondary total ear reconstruction from March of 1991 to December of 2017 was reviewed. Read More

Ann Plast Surg 2020 Jul;85(1):89-92

Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN.

Microtia reconstruction is a unique and challenging field in reconstructive surgery. In the early 20th century, many different alloplastic materials have been used in an attempt to recreate the fibrocartilaginous framework of the native ear. These materials include celluloid, tantalum wire cage, nylon mesh, polyethylene, and acrylic. Read More

Ann Maxillofac Surg 2019 Jul-Dec;9(2):444-450

Department of Oral and Maxillofacial Surgery, P.M.N.M. Dental College, Bagalkot, Karnataka, India.

The various surgical procedures for surgical management of oral submucous fibrosis (OSMF) include excision of fibrous bands with or without grafts or flaps. Materials for attempted grafting included skin, placental grafts, and artificial dermis. Materials that can be used as flaps are tongue flaps, buccal fat pad, greater palatine pedicle flaps nasolabial flaps, anterolateral thigh flap, radial forearm flap, and temporalis fascia flap. Read More

Oper Neurosurg (Hagerstown) 2020 Jul;19(1):E68-E69

Stanford University Medical Center, Stanford, California.

A 2-yr-old patient with a giant craniopharyngioma presented with seizures and panhypopituitarism. The lesion was initially approached at an outside institution with a transfrontal cyst fenestration, but progressive growth occurred later. Multiple management options were considered; we recommended an endoscopic endonasal approach with the goal of maximal safe resection. Read More

Arch Craniofac Surg 2019 Oct 20;20(5):319-323. Epub 2019 Oct 20.

Department of Plastic and Reconstructive Surgery, Jeju National University College of Medicine, Jeju, Korea.

Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Read More

J Craniofac Surg 2020 Jan/Feb;31(1):107-109

Universidad Autónoma de Guadalajara, Guadalajara, México.

Background: The full creation of an ear requires 2 reconstruction stages. In the second stage of reconstruction, the cartilaginous framework placed at first stage is separated from the head creating an auriculocephalic sulcus. Then a piece of rib cartilage is placed in the sulcus to maintain this separation and is covered with tissue that allows the integration of a full-thickness skin graft. Read More

Ann Otol Rhinol Laryngol 2020 Feb 27;129(2):135-141. Epub 2019 Sep 27.

Department of Surgery, Division of Otolaryngology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.

Objective: To report the rate of major soft tissue complications after cochlear implantation and to describe the use of the temporoparietal fascia (TPF) flap for such complications.

Study Design: Retrospective case series.

Setting: Tertiary care, University Hospital. Read More

World Neurosurg 2020 Feb 14;134:e68-e74. Epub 2019 Sep 14.

Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.

Background: A paramount concern after transmaxillary approaches has been skull base reconstruction. Regional pedicled flaps represent the best reconstructive option. We have described a technique to harvest a lateral-based multilayered vascularized flap for skull base reconstruction after resection of large tumors using the transmaxillary transpterygoid approach (TMTPA). Read More

J Craniofac Surg 2019 Jul;30(5):e386-e388

Plastic Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Angiolymphoid Hyperplasia with Eosinophilia (AHLE) is a rare benign vascular disorder of unknown etiology. While World Health Organization recognizes it as a benign neoplasm, its progressive nature and high recurrence rate are consistent with being a locally malignant tumor. It may present as solitary or multiple nodules with more predilection to head and neck region, especially auricular area. Read More

World Neurosurg 2019 Oct 28;130:37-41. Epub 2019 Jun 28.

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, USA; Department of Otolaryngology-Facial Plastic Surgery, Saint Barnabas Medical Center, Robert Wood Johnson Barnabas Health, Livingston, USA. Electronic address:

Background: The anterior skull base (ASB) remains one of the greatest challenges for reconstructive surgeons. The current armamentarium includes endoscopic placement of free grafts, endonasal vascularized pedicled flaps, regional flaps, and microvascular free flaps. As the defect size increases, reconstruction complexity increases along with potential complications. Read More

Plast Reconstr Surg Glob Open 2019 Feb 8;7(2):e2067. Epub 2019 Feb 8.

Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

The 3 most common problems after a parotidectomy are cheek contour deformity, Frey syndrome (gustatory sweating), and a visible scar on the neck. These problems can potentially be prevented by (1) facelift type incisions, which eliminate the neck incision and (2) interposition of temporoparietal fascia at the parotidectomy site that fills the defect and provides a barrier to aberrant neuronal regeneration. We followed 11 patients who underwent parotidectomy (9 superficial and 2 total parotidectomies) for a variety of parotid tumors between December 2001 and January 2018. Read More

Semin Plast Surg 2019 Feb 8;33(1):17-23. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

With the advent of the Industrial Revolution, traumatic injuries of the upper extremity increased exponentially. As a result, surgeons began to reevaluate amputation as the standard of care. Following the Second World War, local and regional pedicled flaps became common forms of traumatic upper extremity reconstruction. Read More

World Neurosurg 2019 Jun 27;126:e360-e370. Epub 2019 Feb 27.

Unit of Otorhinolaryngology - Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.

Background: The armamentarium for anterior skull base (ASB) reconstruction includes a variegate spectrum of grafts, endonasal pedicled flaps, regional pedicled flaps, and free flaps, which are selected to face specific scenarios. The use of a vascularized flap in case of large ABS defects ensures an adequate blood supply. The aim of this study was to evaluate the possible role of temporoparietal fascia flap (TPFF) in ASB reconstruction. Read More

J Stomatol Oral Maxillofac Surg 2019 Jun 11;120(3):250-254. Epub 2019 Feb 11.

Division of Oral and Maxillofacial Surgery, Army Dental Centre (Research and Referral), New Delhi, India.

Reconstruction of midface defects are extremely challenging owing to the lack of suitable vascularized local flaps. The temporoparietal fascia and temporalis muscle flaps make excellent choices for midface and orbito-maxillary reconstruction. The muscle provides adequate thickness while the fascia yields pliable soft tissues for lining the midface. Read More

Plast Reconstr Surg 2019 03;143(3):592e-601e

Los Angeles, Calif.; and Utrecht, The Netherlands From the Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California; Cedars Sinai Hospital; and the Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht.

Background: The temporoparietal fascia flap is frequently used in ear reconstruction. When the temporoparietal fascia flap is unavailable, options for primary or secondary salvage reconstruction are limited. In these patients, an inferiorly based occipital artery fascia transpositional flap is a good alternative for soft-tissue coverage over a framework. Read More

J Plast Reconstr Aesthet Surg 2019 Jan 28;72(1):114-118. Epub 2018 Sep 28.

Lenox Hill Radiology, 61 East 77th Street, Ofc 1, New York, NY 10075, United States.

Background: This retrospective study evaluated the anatomical distribution of the superficial temporal artery (STA) in supply of the temporoparietal fascial (TPF) flap for use in patients with unilateral microtia undergoing reconstruction. We aimed to determine whether embryologic arrest of pharyngeal arch development would lead to aberrant STA, which impedes reliable harvest of the TPF flap in patients requiring microtia repair.

Methods: CT angiograms (CTAs) and 3D reconstruction of the face and neck of 41 patients with microtia, aged 6-21 years, were examined. Read More

J Neurosurg 2018 Nov 1:1-7. Epub 2018 Nov 1.

1Neurorestoration Center.

Moyamoya disease (MMD) is a progressive, idiopathic cerebrovascular occlusive disease. Various revascularization techniques including direct, indirect, and combined microvascular bypasses have been described. This article presents a modified revascularization technique for MMD utilizing a pedicled temporoparietal fascial flap (TPFF) for combined revascularization. Read More

Plast Reconstr Surg 2018 12;142(6):1558-1570

Seoul, Republic of Korea From the Seoul Center for Developmental Ear Anomalies and the Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital.

Background: Microtia with hemifacial microsomia is difficult to treat because of skin volume deficiency. To provide further information for coverage techniques in microtia reconstruction, the authors have reviewed and analyzed patients who underwent surgery at their center.

Methods: A total 52 patients with microtia with hemifacial microsomia who underwent reconstruction between 2006 and 2016 were involved. Read More

J Wound Care 2018 09;27(9):564-572

Department of Burns, Plastic and Reconstructive Surgery, JN Medical College, Aligarh Muslim University, Aligarh, UP-202002, India.

Objective: To evaluate the various methods and outcomes of post-traumatic partial auricle wound reconstruction, and to review the benefit to the patient's quality of life and their psychological improvement after the operation.

Methods: The prospective study included patients who suffered from post-traumatic partial auricular wounds. The defects were repaired using various techniques including simple local cutaneous advancement flaps, tube flaps, cartilage framework using conchal and costal cartilage with local skin flap cover. Read More

Craniomaxillofac Trauma Reconstr 2018 Sep 25;11(3):238-241. Epub 2017 Aug 25.

Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.

Nasoseptal perforations can be a challenging defect for the reconstructive surgeon, with repair limited by the surrounding tissue availability and the defect size. In patients with a history of cocaine use, often the integrity of surrounding vasculature is questionable and large defects may not be well suited for local reconstruction. In the otolaryngology literature, several reconstructive options using local tissue and synthetic materials have been described, but there have been no reports of microvascular free flaps utilized in this regard. Read More

Plast Reconstr Surg Glob Open 2018 May 2;6(5):e1741. Epub 2018 May 2.

Avicenna Tajik State Medical University, Dushanbe, Tajikistan.

Background: Auricular reconstruction is 1 of the biggest challenges of facial plastic surgery. The aim of this study was to evaluate the efficacy of 1-stage reconstruction of an auricle using a temporoparietal fascia flap (TPFF).

Methods: In this nonrandomized study, autologous auricle bodies with emergency condition and cartilaginous graft from projection of a costal arch from the VI-VII ribs were used. Read More

J Reconstr Microsurg 2018 Oct 18;34(8):590-600. Epub 2018 May 18.

Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas.

Background:  Microvascular reconstruction of the anterior cranial fossa (ACF) creates difficult challenges. Reconstructive goals and flap selection vary based on the defect location within the ACF. This study evaluates the feasibility and reliability of free tissue transfer for salvage reconstruction of low, middle, and high ACF defects. Read More

Arch Craniofac Surg 2018 Mar 20;19(1):79-82. Epub 2018 Mar 20.

Cirurgia Plástica Transplante Capilar, Pará de Minas, Brasil.

Formation of an ideally-shaped tragus remains one of the most challenging issues during staged tragus reconstruction in microtia patients. The authors describe a new method used to treat a unique case of concha-type microtia in which the 10-year-old male patient had only a portion of pre-existing cartilage at the tragus site. An anomalous skin lump was also present. Read More

Plast Reconstr Surg 2018 02;141(2):461-470

Los Angeles, Calif. From the Keck School of Medicine, University of Southern California; and Craniofacial and Pediatric Plastic Surgery, Cedars Sinai Medical Center.

Background: The use of a porous high-density polyethylene implant for ear reconstruction is gradually gaining acceptance because it allows for a pleasing ear reconstruction in young children before they enter school. In response to this growing interest, the authors decided to write an article clarifying in detail all the steps of this challenging procedure. In this article, the authors also answer all the common questions that surgeons have when they come to observe the operation, or when they go back to their respective practices and start performing this procedure. Read More

Medicine (Baltimore) 2017 Oct;96(42):e7038

Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.

Rationale: Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose. Read More

Semin Plast Surg 2017 Aug 9;31(3):161-172. Epub 2017 Aug 9.

Craniofacial and Pediatric Plastic Surgery, Dell Children's Medical Center, Austin, Texas.

Total ear reconstruction has been approached by several techniques involving autologous graft, prosthetic implant, and alloplastic implant options. Recent studies have shown the superiority of porous polyethylene (Medpor, Porex Surgical) reconstruction over autologous reconstruction based on improved aesthetic results, earlier age of intervention, shorter surgery times, fewer number of required procedures, and a simpler postoperative recovery process. A durable and permanent option for total ear reconstruction, like Medpor, can help alleviate the cosmetic concerns that patients with auricular deformities may be burdened with on a daily basis. Read More

Ann Thorac Surg 2017 Sep 1;104(3):1040-1046. Epub 2017 Jun 1.

Head and Neck Surgery Department, Tenon Hospital, Paris, France; Department of Medicine, Paris VI University, Paris, France.

Background: The aim of tracheal reconstruction is to provide an airtight and noncollapsible airway covered with a suitable epithelial lining. To date, no ideal treatment is available for large tracheal defects.

Methods: We report 4 patients who underwent one-stage reconstruction for a cricotracheal stenosis with a free temporoparietal fascia flap and costal cartilage grafts. Read More

J Plast Reconstr Aesthet Surg 2017 Oct 24;70(10):1457-1463. Epub 2017 May 24.

Plastic, Reconstructive and Aesthetic Surgery Department, İstanbul University Cerrahpasa Medical Faculty, İstanbul, Turkey. Electronic address:

Background: Disfigurement of the face caused by postburn scars, resected congenital nevi and vascular malformations has both functional and psychological consequences. Ideal reconstruction of the facial components requires producing not only function but also the better appearance of the face. The skin of the neck, supraclavicular or cervicothoracic regions are the most commonly used and the most likely source of skin for facial reconstruction in those techniques which prefabrications with tissue expansion are used. Read More

Am J Rhinol Allergy 2017 May;31(3):190-195

Background: Septal perforation closure is still often invasive and complex, with relatively low closure rates.

Objectives: We aimed to provide the first results of a case series of 20 patients with nasal septal perforations who underwent septal perforation repair by both an open and a minimally invasive technique by using a graft that consisted of temporoparietal fascia and a polydioxanone (PDS) plate without mucosal flaps. Between 2014 and 2016, we tested, for the first time, the feasibility of the insertion of this graft via a hemitransfixion incision at our institution. Read More

Int J Pediatr Otorhinolaryngol 2017 Mar 16;94:64-67. Epub 2017 Jan 16.

Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, MO, USA. Electronic address:

The management of cochlear implant extrusion (CIE) can be challenging, particularly in the pediatric population in whom reconstructive options are limited. We describe the use of the temporoparietal fascia flap (TPFF) for this purpose due to its ease of use and limited morbidity. We present a case series of two pediatric patients who underwent explantation of their devices, followed by reimplantation with TPFF coverage. Read More

Plast Reconstr Surg 2017 Apr;139(4):935-945

Mibu and Koshigaya, Japan From the Department of Plastic and Reconstructive Surgery, Dokkyo Medical University Koshigaya Hospital.

Background: In two-stage procedures for reconstruction of microtia, an axial flap of temporoparietal fascia is widely used to cover the costal cartilage blocks placed behind the framework. Although a temporoparietal fascia flap is undoubtedly reliable, use of the flap is associated with some morbidity and comes at the expense of the option for salvage surgery.

Methods: The authors devised a simplified procedure for covering the cartilage blocks by creating a pocket in the postauricular temporoparietal fascia. Read More

Am J Otolaryngol 2017 Mar - Apr;38(2):254-256. Epub 2016 Nov 25.

Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.

Introduction: PCF is the most common major complication after salvage total laryngectomy (TL), especially for previously irradiated patients with laryngeal or hypopharyngeal cancer.

Methods/results: A 65-year-old woman presented with recurrent bilateral supraglottic SCC requiring salvage TL 5.5years after initial T1N0M0 epiglottic SCC resection. Read More

Acta Neurochir (Wien) 2016 12 7;158(12):2291-2294. Epub 2016 Oct 7.

Department of Neurosurgery, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, Université Paris-Diderot, Sorbonne Paris-Cité, Paris, France.

Background: Endoscopic endonasal approaches (EEA) are an alternative for removing challenging nasopharyngeal or skull base lesions. In some cases, a nasoseptal flap (NSF) is not always available and such complex procedures may lead to carotid arteries exposition and/or dura mater (DM) wide opening. Meticulous carotid coverage and DM reconstruction are crucial for preventing early and delayed complications. Read More

Plast Reconstr Surg 2016 Aug;138(2):307e-16e

Shanghai, People's Republic of China From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine.

Background: Although a standard classification system and corresponding reconstruction methods are well described for microtia, establishing a classification system and corresponding surgical strategies for traumatic ear defects is difficult because the size, shape, and local skin conditions of each defect differ considerably. In this article, the authors describe a useful new classification system and corresponding surgical approaches.

Methods: Ear defects were classified into four types according to defect size and surrounding skin conditions. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Feb;30(2):208-10

Objective: To investigate the application and effectiveness of split-thickness scalp graft and temporoparietal fascia flap in the low hairline auricle reconstruction in microtia patients.

Methods: Between July 2010 and April 2015, 23 patients with low hairline microtia (23 ears) underwent low hairline auricle reconstruction. There were 16 males and 7 females with the mean age of 12 years (range, 6-34 years). Read More

Ann Plast Surg 2017 Feb;78(2):178-183

From the *Bona Microtia and Aesthetic Ear Surgery Clinic; †Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University, College of Medicine, Seoul; and ‡Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, South Korea.

Background: One of the most common complications of total auricular reconstruction is delayed wound healing, which results in skin necrosis and exposure of the ear framework. Various options exist for salvage of the exposed ear framework.

Methods: From January 2009 to May 2014, 149 patients underwent total auricular reconstruction using an autogenous cartilage framework or porous polyethylene framework (Medpor; Stryker, USA). Read More

J Craniofac Surg 2016 May;27(3):552-7

*Department of Plastic and Reconstructive Surgery †Department of Otolaryngology, Tokyo Medical and Dental University, Tokyo ‡Department of Neurosurgery §Department of Head and Neck Surgery, Kameda Medical Center, Chiba, Japan.

Background: For a safe and reliable middle skull base reconstruction, the temporalis muscle flaps or pericranial-temporalis muscle flaps have usually been used as the first-choice in clinical practice. But these flaps have an inevitable disadvantage, namely, temporal hollowing. To address this problem, in this study, the authors describe the feasibility and advantages of using a muscle-sparing laterally based pericranial flap. Read More

Int J Oral Maxillofac Surg 2016 Aug 8;45(8):1023-6. Epub 2016 Apr 8.

Department of Oral and Maxillofacial Surgery, Boston Medical Center and Boston University School of Dental Medicine, Boston, MA, USA. Electronic address:

Spontaneous herniation of the condylar head into the external auditory canal (EAC) through the foramen of Huschke is extremely rare, with approximately 30 cases reported in the international literature. The typical presentation is a constellation of non-specific symptoms including otalgia, temporomandibular joint (TMJ) pain, malocclusion, otorrhea, tinnitus while chewing, and hearing loss. Clinical examination may reveal pain, granulation tissue in the EAC, or the exposed mandibular condyle with the mouth closed. Read More

Acta Neurochir (Wien) 2016 06 29;158(6):1221-4. Epub 2016 Mar 29.

Department of Plastic surgery, AP-HM Hôpital Nord Chemin des bourrely, Marseille, 13915, France.

Background: Skull base and posterior fossa surgeries are sometimes complicated by cerebrospinal fluid (CSF) fistulae, which may be challenging to treat. They can lead to meningitis, increasing global morbidity and mortality. In case of failed medical treatment, revision surgery may be required. Read More

Otol Neurotol 2016 Mar;37(3):248-51

Department of Otolaryngology, The Ipswich Hospital NHS Trust, Ipswich, Suffolk, U.K.

Objective: To find out if the use of the vascularized temporo-parietal fascial flap (TPFF) reduces postoperative infection or wound breakdown in subtotal petrosectomy for chronic discharging ears.

Patients: A retrospective review on 26 subtotal petrosectomies with blind pit closures on chronic discharging ears performed by a single surgeon between 2000 and 2015 was performed. All patients had a minimum follow-up period of 6 months. Read More

Int J Oral Maxillofac Surg 2016 Jun 29;45(6):731-4. Epub 2015 Dec 29.

Department of Plastic and Reconstructive Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.

Treacher Collins syndrome (TCS) is a rare genetic disorder leading to congenital craniofacial malformations. Although this syndrome presents with various symptoms, corrective surgery for bilateral microtia with low hairline is one of the most challenging operations given the complex contours of the external ear. In this technical note, a novel, simple procedure for dealing with the low hairline by using a hinged mastoid fascial flap simultaneously with costal cartilage grafting is described. Read More

J Craniofac Surg 2016 Jan;27(1):44-50

*Faculty of Medicine and Dentistry, University of Alberta †Institute for Reconstructive Sciences in Medicine, Misericordia Hospital, Covenant Health Group ‡Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, Canada.

Patients with major ear deformities and associated compromise of the superficial temporal artery are poor candidates for autogenous ear reconstruction because of a tenuous ipsilateral temporoparietal fascial flap (TPFF). Osseointegrated prosthetic auricular reconstruction (OPAR) is an alternative to contralateral free TPFF microsurgical and autogenous reconstruction, but data on clinical outcomes are limited. The records of patients with ear loss or major deformity and a compromised ipsilateral TPFF who underwent OPAR from 1989 to 2013 were reviewed. Read More

J Neurosurg 2016 08 27;125(2):419-30. Epub 2015 Nov 27.

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

OBJECT The objective of this study was to describe the surgical anatomy and technical nuances of various vascularized tissue flaps. METHODS The surgical anatomy of various tissue flaps and their vascular pedicles was studied in 5 colored silicone-injected anatomical specimens. Medical records were reviewed of 11 consecutive patients who underwent repair of extensive skull base defects with a combination of various vascularized flaps. Read More

J Neurosurg Pediatr 2016 Mar 6;17(3):371-7. Epub 2015 Nov 6.

Pediatric Neurosurgery, Ann & Robert H. Lurie Children's Hospital of Chicago; and 

The authors of this report present a pediatric case involving the use of a tunneled temporoparietal fascia flap to reconstruct a skull base defect for a multiply recurrent clival chordoma and cerebrospinal fluid leak, demonstrate the surgical technique through illustrations and intraoperative photos, and review the pertinent literature. A 9-year-old female patient underwent extensive clival chordoma resection via both the endoscopic and open approaches, which ultimately exhausted the bilateral nasoseptal flaps and other intranasal reconstructive options. Following proton beam radiation and initiation of chemotherapy, tumor recurrence was managed with further endoscopic resection, which was complicated by a recalcitrant cerebrospinal fluid leak. Read More

GMS Interdiscip Plast Reconstr Surg DGPW 2015 13;4:Doc01. Epub 2015 Jan 13.

Klinik für Plastische und Handchirurgie mit Schwerbrandverletztenzentrum, Klinikum St. Georg gGmbH, Leipzig, Germany.

Severe soft tissue defects as a result of lye contamination remain a huge challenge in the interdisciplinary approach of trauma surgeons and plastic surgeons. Free tissue transfer is a suitable surgical option for successful reconstruction of form and function of defects in the distal parts of the lower extremities. We report the successful two-stage reconstruction of a full thickness lye contamination at the dorsum of the foot with a free temporoparietal fascia flap covered with a split-thickness skin graft from the thigh. Read More

J Craniofac Surg 2015 Sep;26(6):e472-5

Plastic Surgery Hospital, Peking Union Medical College, Beijing, China.

Unlabelled: Reconstruction of complex facial defects using cervical expanded flap prefabricated by temporoparietal fascia flap.

Background: Complex facial defects are required to restore not only function but also aesthetic appearance, so it is vital challenge for plastic surgeons. Skin grafts and traditional flap transfer cannot meet the reconstructive requirements of color and texture with recipient. Read More

Ann Otol Rhinol Laryngol 2015 Dec 14;124(12):978-86. Epub 2015 Jul 14.

Department of Otolaryngology-Head and Neck Surgery, Southern California Permanente Medical Group, San Diego, California, USA

Background: External auditory canal exostoses are benign, bony overgrowths that arise in patients who experience chronic cold water exposure. While considerable advancement has been made in canalplasty techniques in recent decades, many patients continue to experience prolonged healing periods and recurrent stenosis following surgery.

Objective: To perform a retrospective outcomes analysis of our experience with a skin-preserving canalplasty technique with temporoparietal fascia grafting and use of bone wax for skin flap protection. Read More

J Craniofac Surg 2015 Sep;26(6):1930-2

Loma Linda University School of Medicine, Loma Linda, CA.

Reconstruction of microtia with autogenous costal cartilage that produces a well-projected ear in a single stage is a challenging endeavor. In this case report, we describe a single-stage, projected costal cartilage-based reconstruction of concha type mitoria. Due to the patient's low hairline, his hair-bearing scalp would encroach on the ear framework if placed subcutaneously in the standard fashion. Read More