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

Overview

Journal Arch Craniofac Surg

Date 2019 Oct 30

PMID 31658797

Citations 4

Authors

Jae Kyoung Kang

Jae Seong Lee

Michelle Suh

Gil Chae Lim

Myoung Soo Shin

Byung Min Yun

Affiliations

Soon will be listed here.

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.

Citing Articles

Surgical outcomes of simultaneous subtotal petrosectomy and cochlear implantation: a single institutional study.

Velasco G, Alshaikh H, Lee C, Jeon M, Han J, Seo J Eur Arch Otorhinolaryngol. 2024; .

PMID: 39604556 DOI: 10.1007/s00405-024-09063-4.

Aesthetic Temporal Augmentation with the Pedicled Temporoparietal Fascia Flap.

Liu N, Wang H, Chen S, Liu Y Aesthetic Plast Surg. 2024; 48(19):3726-3734.

PMID: 38977454 DOI: 10.1007/s00266-024-04160-5.

The Role and Versatility of the Temporoparietal Fascia Flap for Coverage of Cochlear Implant Extrusion.

Chang-Azancot L, Gijon M, Monton J Indian J Otolaryngol Head Neck Surg. 2023; 75(4):3956-3959.

PMID: 37974738 PMC: 10645787. DOI: 10.1007/s12070-023-04010-x.

Reconstruction of a total defect of the lower eyelid with a temporoparietal fascial flap: a case report.

Kim Y, Lee N, Roh S, Shin J Arch Craniofac Surg. 2022; 23(1):39-42.

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