title: Controversies in Parotid Defect Reconstruction.
abstract: Reconstruction of the parotid defect is a complex topic that encompasses restoration of both facial form and function. The reconstructive surgeon must consider facial contour, avoidance of Frey syndrome, skin coverage, tumor surveillance, potential adjuvant therapy, and facial reanimation when addressing parotid defects. With each defect there are several options within the reconstructive ladder, creating controversies regarding optimal management. This article describes surgical approaches to reconstruction of parotid defects, highlighting areas of controversy.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Tamplen
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA.
authors.forename: P Daniel
authors.initials: PD
authors.lastname: Knott
authors.affiliation: Head and Neck Institute, Cleveland Clinic, CCLCM, 9500 Euclid Avenue, Desk A71, Cleveland, OH 44195, USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Fritz
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA. Electronic address: Rahul.Seth@ucsf.edu.
authors.forename: Rahul
authors.initials: R
authors.lastname: Seth
mesh_terms: D003094:Collagen / Q000627:therapeutic use; D006801:Humans; D010306:Parotid Gland / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D050507:Subcutaneous Fat, Abdominal / Q000637:transplantation; D013524:Surgical Flaps
chemical_list: C440568:Alloderm; D003094:Collagen
keywords: Facial nerve; Microvascular surgery; Parotid defects; Parotidectomy; Reconstruction