Iatrogenic ear lobule ischemic injury from pressure dressing as an unusual complication of parotidectomy.
The use of compressive dressing is usually spread to enhance neovascularization of the dissected facial flap by elimination of dead space between the flap and the dermis in parotid surgery through facelift incision. The author reports a clinical case of compressive dressing after parotidectomy that was inappropriately performed to folding of the ear lobule, leading to ischemic injury. This iatrogenic complication resulted in the development of contracture of ear lobule and deformity of auricle. Consequently, careful compressive dressing after parotidectomy through facelift incision must be applied; and the wound must be inspected daily for early detection and prompt treatment of local complications.
Yoon
Yeo-Hoon
YH
Department of Otolaryngology-Head and Neck Surgery, Cancer Research Institute, College of Medicine, Chungnam National University, Daejeon, South Korea.
Park
Jae Yong
JY
Choi
Jin Woong
JW
Koo
Bon Seok
BS
D008949:Adenoma, Pleomorphic / Q000473:pathology / Q000601:surgery; D001458:Bandages / Q000009:adverse effects*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D004431:Ear, External / Q000098:blood supply*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D007511:Ischemia / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D008875:Middle Aged; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D011312:Pressure / Q000009:adverse effects; D018570:Risk Assessment