Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (1): 9-12.doi: 10.6040/j.issn.1673-3770.0.2023.316

• Original Article • Previous Articles     Next Articles

Pedicled superficial temporal fascia flap and local skin graft combined with cartilage transplantation effectively repair cartilage scaffold exposure in auricular reconstruction

LIU Yuhong, BO Lin, LIU Xingang, SU Faren, MA Qifa   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Chinese Armed People's Police Force Shandong Provincial Corps Hospital, Jinan 250014, Shandong, China
  • Published:2024-01-12

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Abstract: Objective The study aimed to investigate the therapeutic efficacy of transplantation and concealment by pedicled superficial temporal fascia flap and local skin grafting in conjunction with cartilage transplantation for the repair of exposed cartilage scaffolds following auricular reconstruction. Methods Six patients with cartilage scaffold exposure post-auricular reconstruction surgery underwent treatment. Granulation tissue and necrotic cartilage were thoroughly removed from the wound. In cases of cartilage defects, the repair involved utilizing either residual ear cartilage or autogenous costal cartilage. Subsequently, we flipped over the superficial temporal fascia flap to concealment by the exposed cartilage and employed a medium-thickness free skin graft for skin grafting. Results All surgical wounds healed through primary intention and grafts exhibited complete survival. Postoperative follow-ups ranging from 3 months to 3 years revealed a reconstructed ear with a realistic shape, distinct contour, and no recurrence of cartilage exposure or other issues. The patients expressed satisfaction with the surgical outcome. Conclusion The application of transplantation and concealment by pedicled superficial temporal fascia flap and local skin grafting for repairing cartilage scaffold exposure after auricular reconstruction yielded good results worthy of clinical recognition and application.

Key words: Microtia, Superficial temporal fascia flap, Cartilage framework exposure, Auricle reconstruction, Cartilage transplantation

CLC Number: 

  • R764.7+1
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