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http://dx.doi.org/10.7181/acfs.2019.00353

Reconstruction of a scalp defect due to cochlear implant device extrusion using a temporoparietal fascia flap and a split-thickness skin graft from the scalp  

Kang, Jae Kyoung (Department of Plastic and Reconstructive Surgery, Jeju National University College of Medicine)
Lee, Jae Seong (Department of Plastic and Reconstructive Surgery, Jeju National University Hospital)
Suh, Michelle (Department of Otorhinolaryngology, Jeju National University College of Medicine)
Lim, Gil Chae (Department of Otorhinolaryngology, Jeju National University College of Medicine)
Shin, Myoung Soo (Department of Plastic and Reconstructive Surgery, Jeju National University College of Medicine)
Yun, Byung Min (Department of Plastic and Reconstructive Surgery, Jeju National University College of Medicine)
Publication Information
Archives of Craniofacial Surgery / v.20, no.5, 2019 , pp. 319-323 More about this Journal
Abstract
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. Coverage of TPFF was achieved with a split-thickness skin graft using the scalp as the donor site, which led to a quick recovery after the operation and satisfactory results in terms of aesthetics. This case suggests that a TPFF might be used as a flexible flap with low donor site morbidity for reconstructing cases of cochlear implant extrusion accompanied by a large full-layer scalp defect.
Keywords
Cochlear implants; Reconstructive surgical procedures; Surgical flaps;
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