| Title | The auriculomastoid fasciocutaneous island flap: a new flap for orofacial reconstruction. | | Author(s) | Choung PH | | Institution | Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University, Korea. | | Source | J Oral Maxillofac Surg 1996 May; 54(5):559-67; discussion 568. | | MeSH | Adult
Aged
Aged, 80 and over
Anastomosis, Surgical
Arteries
Child
Ear, External
Face
Fascia
Female
Graft Survival
Humans
Male
Mastoid
Microsurgery
Middle Aged
Mouth
Occipital Bone
Parietal Bone
Research Support, Non-U.S. Gov't
Scalp
Sensation
Skin
Skin Pigmentation
Skin Transplantation
Surgical Flaps
Temporal Arteries
Temporal Bone
| | Abstract | PURPOSE: Various designs for previously reported postauricular skin flaps have the disadvantages of being two-stage procedures, providing a limited pedicle, or requiring microvascular anastomoses. To overcome such problems, a new auriculomastoid fasciocutaneous (AMFC) island flap for orofacial reconstruction has been developed. This article presents the technique and reports the clinical results.
PATIENTS AND METHODS: A long ipsilateral AMFC island flap pedicled by the parietotemporal fascia and based on the parietal branches of the superficial temporal artery, the occipital artery, and the postauricular artery was designed. Twenty-five of these island flaps were used to reconstruct intraoral or external facial defects.
RESULTS: The fasciocutaneous flap could be extended to reach any orofacial defect as a single or compound design in a one-stage subcutaneous procedure. Compound types of AMFC island flaps, including scalp, parietal bone, or the parietotemporal fascia were performed successfully based on single vessels. The flap has the characteristics of providing thin and pliable skin, a good color match to the face, and restored sensitivity. The donor defect is designed to be closed directly and concealed behind the ear without ear deformity.
CONCLUSIONS: This flap is very useful in orofacial reconstruction because the skin quality equals that of the radial forearm flap, without the need for microvascular anastomoses, with many additional advantages and various modifications of design. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 8632239 |
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