Our experience and modification of the Antia-Buch flap for pinna reconstruction
Abstract
Objective The Antia-Buch flap technique is used for the reconstruction of pinna helical defects. We present our modification of this flap to reconstruct large defects (greater than 20 mm) with good outcomes.Methods A retrospective review was conducted on all modified Antia-Buch flaps performed in a single unit from January 2011 to April 2019. All adult patients (greater than 16 years of age) who underwent this method of reconstruction after surgical excision of a pinna lesion were included. Measurements of the excision specimens from the final histological reports were used to determine the defect size. The helical lengths of the defect were used for analysis. Medical records were reviewed to identify postoperative complications from the reconstruction.Results A total of 103 patients underwent the modified Antia-Buch flap reconstruction. All cases were performed by a single surgeon (senior author SA). Patients were 51-96 years of age (mean 76 years, SD±8.6), including 92 males and 11 females. The helical length of defects closed was between 12 and 42 mm (mean 26.7 mm, SD±6.46), and defect widths were 6-37 mm (average 14.5 mm, SD±5.28). There were 5 complications in our series (4.8% complication rate), with a revision rate of 2.9% (n = 3).Conclusions Our case series is the largest in the literature. Our modification demonstrates that large pinna defects can be reliably repaired with modification of the Antia-Buch flap that gives patients the option of a single-stage reconstruction without added morbidity and a good cosmetic outcomes.
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Chondrocutaneous Advancement Flap for the Marginal Defect of the Ear
ANTIA, N. H., & BUCH, V. I. (1967) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-196705000-00006 · Cited by 300 · see citing works
FORMATION OF THE HELIX WITH A POSTAURICULAR FLAP
Lewin, M. L. (1950) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-195005000-00007 · Cited by 51 · see citing works
Fata, J. J. (1997) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199704000-00043 · Cited by 42 · see citing works
Squamous cell carcinoma of the pinna: a 6-year study
Thomas, S., & Matthew, R. N. (1994) · British Journal of Plastic Surgery · doi:10.1016/0007-1226(94)90163-5 · Cited by 39 · see citing works
Modified Antia-Buch repair for full-thickness upper pole auricular defects
Bialostocki, A., & Tan, S. T. (1999) · Plastic and Reconstructive Surgery · doi:10.1097/00006534-199904020-00019 · Cited by 30 · see citing works
The Chondrocutaneous Helical Rim Advancement Flap of Antia and Buch
Ramsey, M. L., Marks, V. J., & Klingensmith, M. R. (1995) · Dermatologic Surgery · doi:10.1111/j.1524-4725.1995.tb00535.x · Cited by 29 · see citing works
Modified Chondrocutaneous Advancement Flap for Ear Reconstruction
Low, D. W. (1998) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199807000-00028 · Cited by 24 · see citing works
Chondrocutaneous advancement flap for reconstruction of helical rim defects in dermatologic surgery
Krunic, A. L., WEITZUL, S. B., & Taylor, R. S. (2006) · Australasian Journal of Dermatology · doi:10.1111/j.1440-0960.2006.00299.x · Cited by 19 · see citing works
Modified Antia Buch repair for full-thickness middle auricular defect
de Schipper, H. J. P., van Rappard, J. H. A., & Dumont, E. A. W. J. (2012) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2011.02204.x · Cited by 16 · see citing works
Modified Antia–Buch flap for the reconstruction of helical rim defects
Noel, W., Leyder, P., & Quilichini, J. (2014) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2014.08.008 · Cited by 15 · see citing works
Helical advancement: pearls and pitfalls.
Al-Shaham, A. (2012) · Canadian Journal of Plastic Surgery · doi:10.1177/229255031202000206 · Cited by 12 · see citing works
Valesky, E. M., Kaufmann, R., & Meißner, M. (2014) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/jdv.12778 · Cited by 12 · see citing works
Dreiman, B. B. (2007) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2005.10.044 · Cited by 10 · see citing works
Chondrocutaneous Marginal Ear Flap
Medeiros, J., Belerique, M., Antunes, E., Franco, D., & Franco, T. (2009) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e3181a14c90 · Cited by 10 · see citing works
Helical Rim Reconstruction: Antia-Buch Flap.
Chung, S., Adam, M., & Edward, L. (2015) · PubMed · Cited by 6 · see citing works
Franssen, B. B. G. M., & Frechner, M. R. (2010) · European Journal of Plastic Surgery · doi:10.1007/s00238-010-0397-5 · Cited by 5 · see citing works
Tay, S., Nikkhah, D., & Teo, T. C. (2015) · Clinical Otolaryngology · doi:10.1111/coa.12489 · Cited by 4 · see citing works
Helical rim advancement – A technique to avoid keloid recurrence
Kwek, J. W. M., Lee, T. S., & Loh, I. C. Y. (2018) · JPRAS Open · doi:10.1016/j.jpra.2018.12.006 · Cited by 4 · see citing works
Antia-Buch versus Franssen-Frechner Technique
Abdelkader, R., Malahias, M., Abdalbary, S. A., & Noaman, A. (2021) · Plastic and Reconstructive Surgery, Global Open · doi:10.1097/gox.0000000000003498 · Cited by 4 · see citing works
Le lambeau d’Antia-Buch dans la reconstruction des pertes de substance partielles de l’hélix
Benchemam, Y., Nicolas, J., Alix, T., Soubeyrand, E., Tringali, S., Labbe, D., Traoré, H., Compère, J.-F., Séguin, P., & Bénateau, H. (2008) · Revue de Stomatologie et de Chirurgie Maxillo-faciale · doi:10.1016/j.stomax.2007.10.009 · Cited by 1 · see citing works
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Ear Reconstruction following Mohs Micrographic Surgery
Mohan, V. C., Owens, W. R., Schmidt, J. L., Burns, H. R., & Buchanan, E. P. (2024) · Seminars in Plastic Surgery · doi:10.1055/s-0044-1791830
da Silva, L. R. R. (2026) · Cureus · doi:10.7759/cureus.116603
“Lancer et al., in a series of 103 patients, demonstrated the versatility of a modified Antia-Buch approach for defects measuring up to 42 mm while emphasizing preservation of auricular dimensions as an important reconstructive objective [9].”
- Authors
- Lancer, H., Goh, S., & Anari, S.
- Affiliations
- University Hospitals Birmingham NHS Foundation Trust (GB)
- ORCID
- Lancer, Hannah
- Venue
- Journal of Plastic, Reconstructive & Aesthetic Surgery
- Publisher
- Elsevier BV
- Published
- 2023-03
- Volume
- 78
- Pages
- 53-59
- ISSN
- 1748-6815 (ISSN-L)
- OpenAlex
- W4319871492
- Cited by
- 2
- References
- 20
- Citations by year
- 2026: 1 · 2024: 1
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Plastic Reconstructive & Aesthetic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
- Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
- Keywords
- flap modification, one-stage reconstruction, postoperative complications, reoperation
- MeSH terms
- Adult, Aged, Ear, External, Female, Humans, Male, Retrospective Studies, Surgical Flaps, Plastic Surgery Procedures, Ear Auricle
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