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  • Vascularized...

Vascularized parascapular fat flap reconstruction effective after parotidectomy, Finds study

Dr. Nandita MohanBy Dr. Nandita MohanPublished On 2022-01-31T09:00:00+05:30  |  Updated On 2022-01-31T16:15:37+05:30
Vascularized parascapular fat flap reconstruction effective after parotidectomy, Finds study

Researchers have found in a new study that vascularized parascapular fat flap reconstruction of parotidectomy contour defects has shown satisfactory cosmetic outcomes.The study has been published in American Journal of OtolaryngologyParotidectomy is a common treatment for benign or malignant tumors of the parotid gland and for aggressive cutaneous facial tumors. Ablation of...

Researchers have found in a new study  that vascularized parascapular fat flap reconstruction of parotidectomy contour defects has shown satisfactory cosmetic outcomes.

The study has been published in American Journal of Otolaryngology

Parotidectomy is a common treatment for benign or malignant tumors of the parotid gland and for aggressive cutaneous facial tumors. Ablation of the gland with or without adjacent tissues may lead to poor facial contour at the angle of the mandible, at the cheek, zygoma, and temporal region.
Vascularized parascapular fat flap is a cosmetically reliable and minimally morbid reconstructive method for restoring parotidectomy contour volume when microvascular expertise and familiarity of parascapular flaps are readily available.
The contour defect resulting after parotidectomy can be cosmetically unappealing. Multiple reconstructive efforts have been reported to mitigate this problem.
Hence, Jake J.Lee and associates from the Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA conducted the present study where the authors described a novel technique of vascularized parascapular fat reconstruction based on the circumflex scapular vessels and evaluate its outcomes.
The researchers included a total of eight patients, out of which three were females. Consecutive patients who underwent parotidectomy with or without additional resections and vascularized parascapular fat flap reconstruction recently were included in the study sample. Demographic, morphologic, intraoperative, and postoperative data were also assessed.
Median cut-to-close time was 247 (range 209–298) minutes, including tumor ablation.
The study revealed the following key findings-
a. None of the patients had any wound complications, and all except one was discharged on postoperative day 1.
b. Flap monitoring was not performed.
c. None reported any significant donor site morbidity except scar formation.
d. At last follow up, all patients reported satisfactory facial contour.
Therefore, vascularized parascapular fat flap reconstruction of parotidectomy contour defects has satisfactory cosmetic outcomes with minimal morbidity and short hospitalization courses, the authors concluded.


Vascularized parascapular fat flap reconstruction parotidectomy American Journal of Otolaryngology 
Source : American Journal of Otolaryngology
Dr. Nandita Mohan
Dr. Nandita Mohan

    Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped.

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