Free vascularized parascapular fat flap for parotidectomy reconstruction

Jake J. Lee, C. Burton Wood, Sidharth V. Puram, Joseph Zenga, Craig A. Bollig, Patrik Pipkorn

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The contour defect resulting after parotidectomy can be cosmetically unappealing. Multiple reconstructive efforts have been reported to mitigate this problem. We describe a novel technique of vascularized parascapular fat reconstruction based on the circumflex scapular vessels and evaluate its outcomes. Methods: Consecutive patients who underwent parotidectomy with or without additional resections and vascularized parascapular fat flap reconstruction in 2020 were included. Demographic, morphologic, intraoperative, and postoperative data were assessed. Results: Eight patients (3 female) were included. Median cut-to-close time was 247 (range 209–298) minutes, including tumor ablation. None of the patients had any wound complications, and all except one was discharged on postoperative day 1. Flap monitoring was not performed. None reported any significant donor site morbidity except scar formation. At last follow up, all patients reported satisfactory facial contour. Conclusion: Vascularized parascapular fat flap reconstruction of parotidectomy contour defects has satisfactory cosmetic outcomes with minimal morbidity and short hospitalization courses.

Original languageEnglish
Article number103028
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume42
Issue number5
DOIs
StatePublished - Sep 1 2021

Keywords

  • Fat graft
  • Free flap
  • Parascapular
  • Parotidectomy
  • Reconstruction

Fingerprint

Dive into the research topics of 'Free vascularized parascapular fat flap for parotidectomy reconstruction'. Together they form a unique fingerprint.

Cite this