Reconstruction of auricular conchal defects with postauricular island flap. A case report
Abstract Introduction and objective: Total or partial concha defects are a challenge for surgical reconstruction. Postauricular flap is the best option to repair anterior auricular defects, above all those involving auricular concha. It is performed in just one surgical procedure, with immediately reconstruction of the defect and direct closing of the postauricular donor region. The main aim of these report case is to illustrate the concha auricular reconstruction after tumor exempt by means of an accurate and effective flap, from the oncological and esthetic point of view, as it is the postauricular flap. Description: A 78 years old men with squamous carcinoma located in concha region who underwent on reconstruction with postauricular flap after tumor removed. The postoperative follow up was successful, with optimum color and evolution of the flap and the postauricular wound. Discussion: Postauricular flap, based on posterior auricular artery, is an acceptable alternative for reconstruction of auricular concha defects that are not tributary of direct closing, preserving auricular pavilion anatomy and postauricular groove and also achieving excellent esthetic results.
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Dessy LA, Figus A, Fioramonti P, Mazzocchi M, Scuderi N. Reconstruction of anterior auricular conchal defect after malignancy excision: revolving-door flap versus full-thickness skin graft. J Plast Reconstr Aesthet Surg. 2010; 63:746-52. https://doi.org/10.1016/j.bjps.2009.01.073 / PMid:19357009
Ferrario D, Molinari LM, Galimberti GN, Galimberti RL. Island interpolation flap (revolving door) for the reconstruction of surgical defects of the ear auricle. Piel 2015; 30:52-9. https://doi.org/10.1016/j.piel.2014.08.007
Krespi YP, Ries WR, Shugar JM, Sisson GA. Auricular reconstruction with postauricular myocutaneous flap. Otolaryngol Head Neck Surg. 1983;91:193-6. https://doi.org/10.1177/019459988309100215 / PMid:6408578
Roche AM, Griffin M, Shelton R, Urken ML. The folded postauricular flap: A novel approach to reconstruction of large full thickness defects of the conchal bowl. Am J Otolaryngol. 2017;38:706-9. https://doi.org/10.1016/j.amjoto.2017.09.006 / PMid:28942231
Talmi YP, Liokumovitch P, Wolf M, Horowitz Z, Kopolovitch J, Kronenberg J. Anatomy of the postauricular island "revolving door" flap ("flip-flop" flap). Ann Plast Surg. 1997;39:603-7. https://doi.org/10.1097/00000637-199712000-00008 / PMid:9418919
Ferrario D, Molinari LM, Galimberti GN, Galimberti RL. Island interpolation flap (revolving door) for the reconstruction of surgical defects of the ear auricle. Piel 2015; 30:52-9. https://doi.org/10.1016/j.piel.2014.08.007
Krespi YP, Ries WR, Shugar JM, Sisson GA. Auricular reconstruction with postauricular myocutaneous flap. Otolaryngol Head Neck Surg. 1983;91:193-6. https://doi.org/10.1177/019459988309100215 / PMid:6408578
Roche AM, Griffin M, Shelton R, Urken ML. The folded postauricular flap: A novel approach to reconstruction of large full thickness defects of the conchal bowl. Am J Otolaryngol. 2017;38:706-9. https://doi.org/10.1016/j.amjoto.2017.09.006 / PMid:28942231
Talmi YP, Liokumovitch P, Wolf M, Horowitz Z, Kopolovitch J, Kronenberg J. Anatomy of the postauricular island "revolving door" flap ("flip-flop" flap). Ann Plast Surg. 1997;39:603-7. https://doi.org/10.1097/00000637-199712000-00008 / PMid:9418919
Corriols-Noval, P., Herrero-Fernández, F. J., & Piero-Belmonte, G. H. (2018). Reconstruction of auricular conchal defects with postauricular island flap. A case report. Revista ORL, 10(4), 305–308. https://doi.org/10.14201/orl.18977
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