Resurfacing extensive malar and preauricular cutaneous defects with pedicled temporoparietal fascia.
BACKGROUND
The pedicled temporoparietal fascial flap (TPFF) is useful for preparing extensive cutaneous facial defects for skin grafting.


OBJECTIVE
The purpose of this work is to describe the use of the pedicled TPFF for preparation of extensive cutaneous malar and preauricular facial defects for skin grafting and contour improvement.


METHODS
Two patients underwent transposition of a TPFF and immediate skin grafting. Patient demographics, diagnoses, wound characteristics, and outcome are described and documented through photographs.


RESULTS
The TPFF greatly simplified reconstruction in the cases presented. The TPFF provided a vascularized tissue bed that resulted in complete survival of the skin grafts. It also effectively replaced lost volume and corrected contour deformities.


CONCLUSIONS
The use of the pedicled TPFF for extensive malar and preauricular cutaneous defects provides a vascular tissue bed for skin grafting and soft tissue replacement. The TPFF may obviate the need for more complicated and morbid reconstructive procedures.
Dolan
R
R
Lahey Clinic, Department of Otorhinolaryngology, Head and Neck Surgery, Burlington, Massachusetts 01803, USA.
D002280:Basal Cell Carcinoma / Q000175:diagnosis / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000601:surgery*; D004954:Esthetics; D005145:Face; D005205:Fascia / Q000637:transplantation*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome