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Soft Tissue Reconstruction of Parotidectomy Defect
Jennifer Moy1, Mark K Wax1, Myriam Loyo1
1Department of Otolaryngology/Head and Neck Surgery at Oregon Health & Science University, 3181 SW Sam Jackson Park Road, PV01, Portland, OR 97239, USA.
Otolaryngologic Clinics of North America
|May 24, 2021
Summary
This review covers soft tissue reconstruction options after parotidectomy, detailing techniques like flaps and fat transfer. It addresses volume, coverage, and preventing complications such as Frey syndrome.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Parotidectomy, the surgical removal of the parotid gland, often results in significant defects.
- Reconstruction is crucial for restoring form and function, and preventing complications.
Purpose of the Study:
- To review current soft tissue reconstructive options for post-parotidectomy defects.
- To discuss key considerations in selecting appropriate reconstructive methods.
Main Methods:
- Literature review of reconstructive techniques for parotidectomy defects.
- Analysis of methods including skin incision, primary closure, acellular dermis, autologous fat transfer, local/regional flaps, and free tissue transfer.
Main Results:
- Various reconstructive options exist, each with specific advantages and disadvantages.
- Considerations include achieving adequate volume, ensuring skin coverage, and preventing Frey syndrome.
Conclusions:
- The choice of reconstruction depends on defect size, patient factors, and desired outcomes.
- Comprehensive management involves addressing aesthetic and functional aspects, alongside oncologic surveillance.
