HN01 LARGE PERI‐AURICULAR CARCINOMA RESECTION WITH KEYSTONE DESIGN PERFORATOR ISLAND FLAP (KDPIF)

Abstract

Large peri‐auricular carcinoma resection with Keystone Design Perforator Island Flap (KDPIF)Purpose Due to the surrounding anatomy, peri‐auricular tumours can be difficult surgical resections and reconstructions. Acceptable resection margins may be difficult to obtain while trying to retain vital structures. The aim of this study was to analyse extent of surgery, pathological findings and adjuvant therapy, and how they impact on outcome and survival.Methodology Patients with squamous cell, basal cell, melanoma and other of the peri‐auricular area were reviewed that underwent large surgical resection and reconstruction with KDPIF. Outcomes were defined as mortality, recurrence and flap failure. Patients were followed for a minimum of 2 years.Results This series contained 100 patients, 69% were squamous cell carcinoma. Median age was 76 years. All underwent radical surgical resection involving either parotidectomy/other procedure with/without bone removal, and KDPIF reconstruction. 31% had positive margins, 26% had a neck dissection and 60% had post‐op radiotherapy and/or chemotherapy. Mortality from disease at 2 years was 9%.Conclusion Our results suggest that a positive pathological margin is not an independent predictor for poor disease control as suggested by O’Brien et al, and that despite advanced age and disease, this population achieved low recurrence and high survival rates.