Controversies in Parotid Defect Reconstruction

Matthew Tamplen; P Daniel Knott; Michael A Fritz; Rahul Seth

doi:10.1016/j.fsc.2016.03.002

Controversies in Parotid Defect Reconstruction

Facial Plast Surg Clin North Am. 2016 Aug;24(3):235-43. doi: 10.1016/j.fsc.2016.03.002. Epub 2016 May 24.

Authors

Matthew Tamplen¹, P Daniel Knott¹, Michael A Fritz², Rahul Seth³

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA.
² Head and Neck Institute, Cleveland Clinic, CCLCM, 9500 Euclid Avenue, Desk A71, Cleveland, OH 44195, USA.
³ 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.

PMID: 27400838
DOI: 10.1016/j.fsc.2016.03.002

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.

Keywords: Facial nerve; Microvascular surgery; Parotid defects; Parotidectomy; Reconstruction.

Publication types

Review

MeSH terms

Collagen / therapeutic use
Humans
Parotid Gland / surgery*
Plastic Surgery Procedures / methods*
Subcutaneous Fat, Abdominal / transplantation
Surgical Flaps*

Substances

Alloderm
Collagen