scholarly journals Burned Ear Reconstruction Using a Superficial Temporal Fascia Flap

2020 ◽  
pp. 014556132093762 ◽  
Author(s):  
Peipei Guo ◽  
Haiyue Jiang ◽  
Qinghua Yang ◽  
Leren He ◽  
Lin Lin ◽  
...  
Keyword(s):  
Costal Cartilage ◽  
Good Choice ◽  
Ear Reconstruction ◽  
External Ear ◽  
Temporal Fascia ◽  
Therapeutic Regime ◽  
Fascial Flap ◽  
Temporal Fascial Flap ◽  
Fascia Flap ◽  
Superficial Temporal Fascia

Objectives: Ear deformity caused by burns is one of the most difficult types of deformity to treat with plastic surgery, and the reconstruction of burned ears undoubtedly remains a substantial challenge. This study aims to report the therapeutic regime of using a superficial temporal fascial flap to cover the framework in burned ear reconstruction. Methods: Autologous costal cartilage was used to form the ear framework in all of the reconstruction cases. A superficial temporal fascial flap was used as soft tissue to cover the ear scaffold. Results: Five patients with 6 ears were included in our study. The external ear healed well and the location, size, and shape of both ears were generally symmetrical. No complication was observed in any of the patients. Conclusions: The superficial temporal fascial flap is a good choice for covering the autogenous cartilage framework when treating ear deformities after burns.

Microtia Repair

2019 ◽  
pp. 461-470
Author(s):  
Melissa Kanack ◽  
Catherine Tsai ◽  
Amanda Gosman
Keyword(s):  
Skin Graft ◽  
Costal Cartilage ◽  
Ear Reconstruction ◽  
External Ear ◽  
Cartilage Graft ◽  
Associated Anomalies ◽  
Ear Canal ◽  
Genetic Syndrome ◽  
Definition Of ◽  
Costal Cartilage Graft

Microtia may occur as an isolated finding or in conjunction with other associated anomalies or a genetic syndrome. Ear reconstruction for these patients is typically performed no earlier than 6 years of age. In this chapter, a staged autogenous method of ear reconstruction is described using costal cartilage. In the first stage, a costal cartilage graft is harvested and placed. The next stages involve lobule transposition, detachment of the auricle with placement of a posterior skin graft, and further refinement of the external ear landmarks with tragus creation and definition of the conchal bowl and ear canal.

Endoscopic Reconstruction of the Middle Cranial Fossa Through a Subtemporal Keyhole Using a Pedicled Deep Temporal Fascial Flap

2011 ◽  
Vol 70 (suppl_1) ◽  
pp. ons157-ons162 ◽  
Author(s):  
Mika Komatsu ◽  
Fuminari Komatsu ◽  
Antonio Di Ieva ◽  
Tooru Inoue ◽  
Manfred Tschabitscher
Keyword(s):  
Skull Base ◽  
Middle Cranial Fossa ◽  
Pedicled Flap ◽  
Temporal Muscle ◽  
Temporal Fascia ◽  
Fresh Cadaver ◽  
Fascial Flap ◽  
Csf Leakage ◽  
Cranial Fossa ◽  
Temporal Fascial Flap

Abstract BACKGROUND: Reconstruction of the skull base is essential to prevent postoperative leakage of cerebrospinal fluid (CSF). However, a reliable method of reconstructing the middle cranial fossa via a subtemporal keyhole is not available. OBJECTIVE: To determine whether less invasive reconstruction of the middle cranial fossa under endoscopic guidance with a pedicled deep temporal fascia approach via a subtemporal keyhole is feasible and useful. METHODS: The middle cranial fossa in 4 fresh cadaver heads was reconstructed with a 4-mm 0° rigid endoscope. RESULTS: A subtemporal skin incision (subtemporal incision) was followed by 2 small skin incisions (temporal line incisions) made on the superior temporal line. The endoscope was inserted through the temporal line incisions, and then the deep temporal fascia was separated from the superficial temporal fascia and temporal muscle under endoscopic view. A pedicled flap was harvested from the subtemporal incision and applied to the middle cranial fossa after subtemporal keyhole craniotomy. The pedicled deep temporal fascial flap was flexible, long, and large enough to overlay skull base defects. CONCLUSION: This purely endoscopic technique using a pedicled deep temporal fascial flap provided reliable reconstruction of the middle cranial fossa through a subtemporal keyhole. This technique would also be applicable in preventing CSF leakage or treating traumatic, acquired nontraumatic, or congenital encephalocele in the middle cranial fossa.

Use of Superficial Temporal Fascia Flap for Treatment of Postradiation Trismus

2015 ◽  
Vol 26 (7) ◽  
pp. e591-e592
Author(s):  
Rohit Sharma ◽  
Indranil Deb Roy ◽  
Tushar S. Deshmukh ◽  
Amit Bhandari
Keyword(s):  
Temporal Fascia ◽  
Fascia Flap ◽  
Superficial Temporal Fascia

Use of a Superficial Temporal Fascia Flap for Coverage of an Exposed Cochlear Implant

1999 ◽  
Vol 120 (6) ◽  
pp. 940-942 ◽  
Author(s):  
Michael S. Beckenstein ◽  
Ronald L. Steenerson ◽  
L. Franklyn Elliott ◽  
Carl R. Hartrampf
Keyword(s):  
Cochlear Implant ◽  
Temporal Fascia ◽  
Fascia Flap ◽  
Superficial Temporal Fascia

Prefabricated Superficial Temporal Fascia Flap Combined with a Submental Flap in Noma Surgery

2002 ◽  
Vol 109 (3) ◽  
pp. 936-940 ◽  
Author(s):  
Isabelle Barthélémy ◽  
Dominique Martin ◽  
Jean-Philippe Sannajust ◽  
Klaas Marck ◽  
Jean-Michel Mondié
Keyword(s):  
Temporal Fascia ◽  
Submental Flap ◽  
Fascia Flap ◽  
Superficial Temporal Fascia

scholarly journals Donor Site Calcification and Deformation Following Microtia Repair in a Pediatric Patient With Mosaic Trisomy 22

2019 ◽  
Vol 5 ◽  
pp. 2513826X1983172
Author(s):  
Paul Yen ◽  
Cynthia Verchere
Keyword(s):  
Costal Cartilage ◽  
Donor Site ◽  
Anterior Chest Wall ◽  
Young Female ◽  
Clinical Syndrome ◽  
Autologous Reconstruction ◽  
Ear Reconstruction ◽  
External Ear ◽  
Wall Deformation ◽  
Mosaic Trisomy

A microtia, or small or abnormally formed pinna, is an uncommon congenital abnormality of the external ear which can present as an isolated defect or as part of an underlying clinical syndrome. External ear reconstruction is a possibility, with either an autologous or non-autologous framework. The Nagata type of autologous reconstruction is a multistage process whereby costal cartilage, temporoparietal fascia, and a full thickness skin graft are used to form a new pinna. Here, we present the unique case of a young female born with mosaic trisomy 22, an extremely rare genetic condition, and a right-sided microtia. Between the first and second stages of her reconstruction, an anterior chest wall deformation was observed, coupled with unusual dystrophic calcifications over the cartilage near the ribs and sternum.

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