Reconstruction of a scalp defect due to cochlear implant device extrusion using a temporoparietal fascia flap and a split-thickness skin graft from the scalp
Archives of Craniofacial Surgery
;
: 319-323, 2019.
Article
in English
| WPRIM
| ID: wpr-762793
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Scalp
/
Schizophrenia
/
Skin
/
Skin Ulcer
/
Surgical Flaps
/
Temporal Arteries
/
Tissue Donors
/
Cochlear Implants
/
Plastic Surgery Procedures
/
Transplants
Limits:
Female
/
Humans
Language:
English
Journal:
Archives of Craniofacial Surgery
Year:
2019
Type:
Article
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