Microvascular Reconstruction of the Parotidectomy Defect

Michael A Fritz; Bryan Nicholas Rolfes

doi:10.1016/j.otc.2015.10.008

Microvascular Reconstruction of the Parotidectomy Defect

Otolaryngol Clin North Am. 2016 Apr;49(2):447-57. doi: 10.1016/j.otc.2015.10.008.

Authors

Michael A Fritz¹, Bryan Nicholas Rolfes²

Affiliations

¹ Cleveland Clinic Head and Neck Institute, Cleveland Clinic Main Campus, Mail Code A71, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address: fritzm1@ccf.org.
² Department of Facial Plastic and Reconstructive Surgery, Boston University, 830 Harrison Avenue, Moakley Building Ground Floor, Boston, MA 02118, USA.

PMID: 27040588
DOI: 10.1016/j.otc.2015.10.008

Abstract

Parotidectomy is a commonly performed procedure for both benign and malignant lesions. When a significant portion of the gland is resected and the lost tissue volume is not replaced, a disfiguring contour defect can result. This defect can be disfiguring and have a profound impact on quality of life. Large defects are best replaced with vascularized tissue to provide stable volume.

Keywords: Anterolateral thigh (ALT) free flap; Contour defect; Facial paralysis; Temporalis tendon transfer; Total parotidectomy.

Publication types

Review

MeSH terms

Humans
Parotid Neoplasms / surgery*
Plastic Surgery Procedures / methods*
Quality of Life
Surgical Flaps / blood supply*