Muscular Hinge Flaps

Abstract

The authors have indicated no significant interest with commercial supporters.

How We Do It: Buried Cartilage Grafts to Prevent Contraction and Preserve Normal Anatomical Shape in Reconstruction of Surgical Defects of the Anterior Pinna

“…The larger the graft, the greater the risk. We have previously described the use of a muscular hinge flap to provide a vascularized wound bed and mitigate the risk of graft failure; however, this is not possible on the anterior surface of the pinna as it is on the ala. 2,3 Typically, autologous cartilage grafts are placed behind the ear buried beneath the soft tissues of the scalp to allow for resurfacing of the anterior surface before release at a second surgery. Such techniques were developed by Tanzer and others and refined by Brent and Nagata.…”

How We Do It: Buried Cartilage Grafts to Assist in Autologous Skin Grafting

“…3 We have previously described the use of nasalis hinge flaps to provide a vascular bed to nourish a full thickness skin graft in such settings. 4 Such a technique is useful when only the thinnest layer of vestibular mucosa is preserved. We describe an elegant new technique of cartilage batten placement, which is appropriate when function and integrity of the alar rim is compromised, but a little more soft tissue remains than just mucosa.…”

Catastrophic Bleeding Complications in 2 High-Risk Patients After Dermatologic Surgery

“…1,2 To date, only 12 cases of facial PNS have been reported in English literature, including 11 males and 1 female. [1][2][3][4] We describe a case of asymptomatic PNS on the forehead in a middle-aged woman.…”