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Case Reports
. 2021 May 7:2021:5574419.
doi: 10.1155/2021/5574419. eCollection 2021.

Pedicled Cervical Lymphoadipose Tissue for Volume Reconstruction after Superficial Parotidectomy

Kyle P Davis  1 , Amy L Fraser  1 , Elizabeth O Shay  1   2 , Michael W Sim  1   2
Affiliations
Case Reports

Pedicled Cervical Lymphoadipose Tissue for Volume Reconstruction after Superficial Parotidectomy

Kyle P Davis et al. Case Rep Otolaryngol. .

Abstract

Volume restoration is often required after parotidectomy due to the resultant facial contour deformity. Common procedures include local pedicled flaps, such as the sternocleidomastoid muscle flap, fat grafting, and even autologous free flaps, for more extensive defects. Local pedicled flaps have the advantage of a single surgical site, which spares the patient the added morbidity of a separate fat graft donor site, while simultaneously reducing the operative time. We report two cases of a novel reconstructive option using pedicled level I and II cervical lymphoadipose tissue for volume restoration after superficial parotidectomy. This reconstruction would be useful for patients with benign parotid lesions and inferior parotid defects. In addition, with maintained blood supply to this tissue, it would likely provide sustained bulk over time.

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Conflict of interest statement

The authors declare that there are no conflicts of interest regarding the publication of this article.

Figures

Figure 1
Figure 1
Volume reconstruction using pedicled lymphoadipose tissue after superficial parotidectomy. (a) Volume defect present after superficial parotidectomy. (b) Level I and II lymphoadipose tissue freed from surrounding structures with preservation of pedicle containing vascular supply. (c) Lymphoadipose tissue rotated posteriorly and superiorly into parotid defect. (d) Lymphoadipose tissue secured to parotid fascia.
Figure 2
Figure 2
Wound closure after volume restoration.
Figure 3
Figure 3
Five-month postoperative follow-up.
See this image and copyright information in PMC

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