Related Experiment Video
Updated: Jun 23, 2026
07:06
Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
Reconstruction of periauricular and temporal bone defects
Tim A Iseli1, Eben L Rosenthal
1Division of Otolaryngology, Head & Neck Surgery, Department of Surgery, University of Alabama School of Medicine, BDB 563, 1530 3rd Avenue South, Birmingham, AL 35294-0012, USA.
Facial Plastic Surgery Clinics of North America
|April 28, 2009
Summary
Reconstructing large head and neck defects after skin cancer surgery requires careful flap selection. Free flaps offer rapid healing, while local flaps are suitable for specific patient groups.
Area of Science:
- Plastic Surgery
- Oncologic Reconstruction
- Head and Neck Surgery
Background:
- Large periauricular and temporal bone defects often result from advanced nonmelanoma skin cancer resections.
- Reconstruction must cover defects, protect vital structures, and function in irradiated tissues.
Purpose of the Study:
- To review preferred reconstructive methods for large periauricular and temporal bone defects.
- To discuss alternative techniques and ancillary procedures.
Main Methods:
- Review of preferred reconstructive options including cervicofacial rotation, radial forearm free flap, anterolateral thigh flap, and rectus abdominis free flap.
- Consideration of ancillary procedures for associated conditions like facial paralysis.
Main Results:
- Free flap reconstructions (radial forearm, anterolateral thigh, rectus abdominis) are preferred for their rapid wound healing.
- Local and regional flaps serve as viable alternatives for patients with contraindications to prolonged anesthesia or those with recurrence/complications.
Conclusions:
- Flap selection depends on defect size, patient factors, and oncologic status.
- Free flaps provide robust reconstruction, but local/regional options remain important alternatives.
