Reconstruction of anterior auricular conchal defect after malignancy excision: Revolving-door flap versus full-thickness skin graft

Dessy, Luca Andrea; Figus, Andrea; Fioramonti, Paolo; Mazzocchi, Marco; Scuderi, Nicolò

doi:10.1016/j.bjps.2009.01.073

Cited by 65 publications

(97 citation statements)

References 24 publications

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“…However, skin grafts may be associated with complications such as delayed wound healing, pigmentation, and centripetal contraction. [3] Pigmentation is especially obvious in oriental patients. In order to decrease the risk of these complications, the flaps for conchal reconstruction should be considered as an alternative repair technique.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of auricular conchal defects with local flaps

Zhu

Zhao

et al. 2016

Medicine

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Reconstruction of the auricular conchal cavity is relatively difficult because of its unique structure, shape, and location. We compared different methods of repair of the auricular concha to determine the method that would cause the least injury to the donor site.The method selected was based on the location and size of the defect. If the defect was located in the upper part of the concha, or if the defect was >15 mm in diameter, we used a post-auricular subcutaneous pedicle island flap that was pulled through a post-auricular sulcus tunnel to cover the wound. If the defect was located in the lower part of the concha and was <15 mm in diameter, we used a pre-auricular translocation flap that was passed through the intertragic notch to cover the wound. The donor site was closed primarily. All flaps survived well and any scars associated with the surgery were unnoticeable. No tumor relapse or metastasis was observed over a mean follow-up period of 35 months. All patients were satisfied with the outcome.The periauricular flap technique chosen for reconstruction of skin defects in the auricular concha depends on the size and location of the defect. With appropriate flap selection, excellent functional, and aesthetic outcomes are achieved.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of auricular conchal defects with local flaps

Zhu

Zhao

et al. 2016

Medicine

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“…-Reconstruction: Most authors do prefer flaps to grafts, and some of them advocate a better aesthetic outcome. 33 When cartilage resection is planned, wedge excision is another popular option. However, the choice of the reconstructive technique does not differ in the case of ear melanoma; rather, it reflects surgeon's preferences.…”

Section: Discussionmentioning

confidence: 99%

“…As for external ear defects in general, 39e43 retroauricular and mastoid skin is the most popular flap donor bank; several authors report on one-stage reconstruction with a modified Masson flap 44 ("revolving door" flap 33 and "flip-flop" 34 flap), which is tunneled through an opening in the conchal cartilage. Sleilati et al 35 also reported on lobule reconstruction with double-crossed skin flaps from the preauricular and retromandibular regions.…”

Section: Reconstructionmentioning

confidence: 99%

“…Skin grafts are usually taken from the contralateral ear, the neck, the supraclavicular region, or the inner part of the arm. 6,33 Primary closure or wedge excision accounts for 17%; combination methods account for 3.1%. Among studies on the type of reconstruction, one study accounting for 22.3% of patients reported insufficient data, as authors only stated that defects were allowed to close by secondary intention or skin grafts.…”

Section: Reconstructionmentioning

confidence: 99%

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A systematic review on external ear melanoma

Toia

Garbo

Tripoli

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…[23] The other option available for reconstrction of conchal defect is full thickness graft Full-thickness skin graft can undergo centripetal contraction with poor aesthetic result. [4] Postauricular flap based on dermal pedicle can be tunneled via conchal cartilage for conchal reconstruction. [5] Other procedures described for conchal reconstruction are pull-through transpositional flap,[6] turn over flap[7] and trap door flap.…”

Section: Discussionmentioning

confidence: 99%

Conchal defect correction by hinge flap and transposition flap

Alagirisamy¹

2011

J Cutan Aesthet Surg

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Reconstruction of old full-thickness conchal defects is rarely described in the literature. This article describes a simple technique for reconstruction of old through-and-through small defects of the concha. The anterior part of the defect is covered with hinge flap taken from the posterior surface of the ear. The resultant final posterior defect is covered with local transposition flap from the adjacent skin.

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Reconstruction of anterior auricular conchal defect after malignancy excision: Revolving-door flap versus full-thickness skin graft

Cited by 65 publications

References 24 publications

Reconstruction of auricular conchal defects with local flaps

Reconstruction of auricular conchal defects with local flaps

A systematic review on external ear melanoma

Conchal defect correction by hinge flap and transposition flap

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