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Artículo en Inglés | WPRIM | ID: wpr-762793

RESUMEN

Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Coverage of TPFF was achieved with a split-thickness skin graft using the scalp as the donor site, which led to a quick recovery after the operation and satisfactory results in terms of aesthetics. This case suggests that a TPFF might be used as a flexible flap with low donor site morbidity for reconstructing cases of cochlear implant extrusion accompanied by a large full-layer scalp defect.


Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Implantes Cocleares , Estética , Fascia , Procedimientos de Cirugía Plástica , Cuero Cabelludo , Esquizofrenia , Úlcera Cutánea , Piel , Colgajos Quirúrgicos , Arterias Temporales , Donantes de Tejidos , Trasplantes
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