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Cited by 2Reconstructive Facial Surgery TechniquesReconstructive Surgery and Microvascular TechniquesEar and Head Tumors

The use of preauricular skin flaps in the treatment of ear malignancy in elderly patients

Frattaroli, Jacopo Maria, Turriziani, Gianmarco, Lo Torto, Federico, Cavalieri, Enrico, Bruno, Edoardo, Dal Prà, Giovanni, Ribuffo, Diego·2022·Journal of Cosmetic Dermatology
DOI 10.1111/jocd.14519
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Abstract

Background: The ear is one of the face areas most affected by skin cancers, and the surgical reconstruction is often challenging because of tumor‐ and patient‐related factors. Reconstructive options are essentially skin flaps and grafts or their combinations. The use of preauricular translocation (PAT) flap for auricular reconstructions is constantly increasing. Aim and Methods: This retrospective study reports the comparison between the PAT flap and the full‐thickness skin grafts (FTSGs) for surgical auricular defect reconstruction in elderly population (≥65 years) that typically shows poor compliance in the postoperative wound care management. Results: A total of 52 FTSGs (Group A) and 39 PAT (Group B) were performed between April 2007 and July 2020. The aim was to investigate, compare, and define advantages and disadvantages of both techniques. Visual Analogue Scale (VAS) was used to evaluate the overall patients’ satisfaction. The mean surgical and healing times were longer in Group A (p < 0.05). No complications occurred in the PAT group, and all the flaps survived. In the FTSG group, the overall complication rate was 17.3% (four partial and three total graft failure, and two graft infections). T test was used to compare the VAS scores: Patients with PAT flap were more satisfied than those with FTSG (p < 0.05). Conclusions: Preauricular translocation flap is a reproducible, safe, and quick option for auricular defects reconstruction in the ≥65 years population, associated with an easier patient management, high patient satisfaction, and excellent aesthetic result.

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Crossref · 10.1111/jocd.14519

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  • Frattaroli et al. found a statistically significant difference in patients' satisfaction in favor of preauricular flaps compared with full thickness skin grafts in auricle reconstruction.

    “The recent study published by Frattaroli et al. comparing the use of preauricular flaps and full thickness skin grafts in auricle reconstruction found a statistically significant difference in patients’ satisfaction in favor of the use of preauricular flaps [14].”

    From A Retrospective Study on Single-Stage Reconstruction of the Ear following Skin Cancer Excision in Elderly Patients (2022) · cites this paper as [14]

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Authors
Frattaroli, J. M., Turriziani, G., Lo Torto, F., Cavalieri, E., Bruno, E., Dal Prà, G., & Ribuffo, D.
Affiliations
  • Sapienza University of Rome (IT)
  • Department of Plastic Reconstructive and Aesthetic Surgery Sapienza Università di Roma Roma Italy
  • Department of Plastic Surgery Polo Ospedaliero Santo Spirito di Roma Roma Italy
Corresponding author
Turriziani, Gianmarco
ORCID
Venue
Journal of Cosmetic Dermatology
Publisher
Wiley
Published
2021-10-14
Volume
21
Issue
7
Pages
2901-2907
ISSN
  • 1473-2130 (ISSN-L)
  • 1473-2165
DOI
10.1111/jocd.14519
OpenAlex
W3205973059
Cited by
2
References
33
Citations by year
2023: 1 · 2022: 1
FWCI
0.47
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Cosmetic Dermatology (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
  • Health Sciences › Medicine › Oncology › Ear and Head Tumors
Keywords
full-thickness skin graft, ear reconstruction, ear cancer, elderly patients, auricular defects, graft failure, patient satisfaction, postoperative wound care
MeSH terms
Aged, Ear Neoplasms, Humans, Retrospective Studies, Skin Neoplasms, Surgical Flaps, Skin Transplantation, Treatment Outcome, Plastic Surgery Procedures

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