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Cited by 37Reconstructive Facial Surgery TechniquesReconstructive Surgery and Microvascular TechniquesCongenital Ear and Nasal Anomalies

Reconstruction of the anterior surface of the ear using a postauricular pull-through neurovascular island flap

Turan, Aydn, Turkaslan, Tayfun, Kul, Zekeriya, Isler, Can, Ozsoy, Zafer·2006·Annals of Plastic Surgery
DOI 10.1097/01.sap.0000203986.20454.26
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Abstract

The auricular conchal cavity is a shallow structure in the central part of the ear. It is not only 3-dimensional, but it is a gateway to the external ear canal. Many methods have been described for reconstruction of the defect of concha-antihelix: split- or full-thickness skin grafts, regional skin, chondrocutaneous and musculocutaneous flaps, but none of the authors have described this flap with neurovascular pedicle. We used postauricular neurovascular pedicle island flap for conchal and periconchal areas of anterior surface of the external ear because it matches to the skin color, thickness and texture; scars are well hidden, and there is no donor-site morbidity. Moreover, it has a constant and reliable neurovascular pedicle. The flap edema which was present in the early postoperative period began to resolve gradually after 3 weeks and disappeared in a few months. The esthetic results were excellent in all of the patients and very satisfying for the patients, too. The sensibility was positive by light touch, pin-prick, temperature and static 2-point discrimination in the postoperative control. The static 2-point discriminations in the transferred flap and in the other ear, which corresponds to the same area, were measured. The results were nearly the same as normal values. We advocate postauricular neurovascular pedicle island flap for conchal and periconchal areas of anterior surface of the external ear because it matches the skin color, thickness and texture; scars are well hidden, and there is no donor site morbidity. Moreover, it has a constant and reliable neurovascular pedicle.

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Crossref · 10.1097/01.sap.0000203986.20454.26

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  • The RD flap is a single-stage procedure that can be performed under local anesthesia with a short operative time.

    “Moreover, it has the advantage of being a single stage procedure that can be performed under local anesthesia with a short operative time. 6 8 16 17”

    From The Revolving Door Flap: Revisiting an Elegant but Forgotten Flap for Ear Defect Reconstruction (2020) · cites this paper as [8]

  • Scars tend to be well hidden, and the donor site heals well secondarily with postauricular flaps.

    “Additionally, scars tend to be well hidden, and the donor site heals well secondarily.19,32,33”

    From Ear Reconstruction following Mohs Micrographic Surgery (2024) · cites this paper as [32]

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Authors
Turan, A., Turkaslan, T., Kul, Z., Isler, C., & Ozsoy, Z.
Affiliations
Bezmiâlem Vakıf Üniversitesi Hastanesi (TR)
Venue
Annals of Plastic Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2006-06
Volume
56
Issue
6
Pages
609-613
ISSN
0148-7043 (ISSN-L)
DOI
10.1097/01.sap.0000203986.20454.26
OpenAlex
W1993254074
Cited by
37
References
26
Citations by year
2024: 4 · 2020: 7 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 2
FWCI
0.68
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of Plastic 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
ear reconstruction, antihelix, postauricular flap, neurovascular island flap, neurovascular pedicle, external ear, donor site morbidity, sensory function, two-point discrimination, cosmetic outcome
MeSH terms
Aged, Aged, 80 and over, Basal Cell Carcinoma, Ear Neoplasms, Ear, External, Humans, Male, Middle Aged, Sensation, Surgical Flaps, Plastic Surgery Procedures

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