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Free anterolateral thigh full-thickness skin flap with vascularized lateral femoral cutaneous nerve for the reconstruction of facial nerve and external auditory canal after the resection of facial nerve schwannoma.
Karakawa, Ryo; Narushima, Mitsunaga; Ogishima, Shinya; Hara, Hisako; Karino, Shotaro; Iida, Takuya; Kakigi, Akinobu; Koshima, Isao.
Afiliación
  • Karakawa R; Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.
  • Narushima M; Department of Plastic and Reconstructive Surgery, The Mie University, Mie, Japan.
  • Ogishima S; Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.
  • Hara H; Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan.
  • Karino S; Department of Otolaryngology, The University of Tokyo, Tokyo, Japan.
  • Iida T; Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.
  • Kakigi A; Department of Otolaryngology, The University of Tokyo, Tokyo, Japan.
  • Koshima I; Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.
SAGE Open Med Case Rep ; 5: 2050313X17741825, 2017.
Article en En | MEDLINE | ID: mdl-29201373
The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve and external auditory canal was successfully performed using an anterolateral thigh flap as a super-thin full-thickness skin flap, including vascularized lateral femoral cutaneous nerve. Resection of 20 mm × 46 mm facial schwannoma, including the skin of the external auditory canal, tympanic membrane, incus and malleus, was performed. The 8-cm nerve gap was repaired using a vascularized lateral femoral cutaneous nerve included in the anterolateral thigh flap. An 8 cm × 2 cm super-thin, free anterolateral thigh flap was then rolled up as a sac (diameter of 2 cm, height of 2 cm) and inset to the external auditory canal defect. The postoperative course was uneventful, and the flap survived completely. One year and nine months after the surgery, the patient's facial movement has improved to the pre-surgery level.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: SAGE Open Med Case Rep Año: 2017 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: SAGE Open Med Case Rep Año: 2017 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido