Inferiorly based preauricular flap for anterior ear reconstruction
Abstract
BACKGROUND: The anterior aspect of the auricle is a complex 3-dimensional structure. Each anatomical component in this region has an essential role in the aesthetic appearance of the ear and face. The reconstruction of defects in this region is challenging because of the lack of mobile, excess skin for primary closure, and the inability to skin graft overexposed cartilage. OBJECTIVE: The aim of the study was to present the planning and surgical technique of a simple, reproducible, 1-stage flap, for the reconstruction of the anterior aspect of the auricle. PATIENTS AND METHODS: A series of 11 patients, who underwent reconstruction of the anterior aspect of the auricle with 1-stage, inferiorly based, preauricular, cutaneous flap. All reconstructions were conducted under local anesthesia, and the defects were mainly due to tumor resections or skin necrosis after otoplasty. The average defect size was 1.5 cm. The flap was applied to different sites of the anterior auricle. RESULTS: All flaps survived except one, where there was partial flap loss. The aesthetic results were excellent, with no auricular deformity. CONCLUSIONS: The inferiorly based, preauricular flap is a versatile flap for a safe, simple, and reproducible, 1-stage reconstruction for almost every region of anterior ear defect, with excellent aesthetic results.
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The preauricular flap represents a very versatile solution for defects of the anterior ear.
“Despite this, the preauricular flap represents a very versatile solution for defects of the anterior ear [13].”
From A Retrospective Study on Single-Stage Reconstruction of the Ear following Skin Cancer Excision in Elderly Patients (2022) · cites this paper as [13]
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Bolletta, A., Losco, L., Pozzi, M., Schettino, M., & Cigna, E. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11030838 · Cited by 15 · see citing works
“Despite this, the preauricular flap represents a very versatile solution for defects of the anterior ear [13].”
BackgroundThe use of preauricular skin flaps in the treatment of ear malignancy in elderly patients
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- Authors
- Sorkin, A., Heller, L., Landau, G., Sherf, M., Hartstein, M. E., & Hadad, E.
- Affiliations
- Departments of Plastic Surgery
- Assaf Harofeh Medical Center (IL)
- Venue
- Annals of Plastic Surgery
- Published
- 2020-01-06
- Volume
- 84
- Issue
- 4
- Pages
- 394-396
- ISSN
- 0148-7043 (ISSN-L)
- 1536-3708
- OpenAlex
- W2997161795
- Cited by
- 14
- References
- 12
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 1
- FWCI
- 1.83
- 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
- auricular defects, one-stage reconstruction, skin flaps, auricular cartilage, tumor resection defects, local anesthesia, flap survival
- MeSH terms
- Ear, External, Humans, Surgical Flaps, Skin Transplantation, Plastic Surgery Procedures, Ear Auricle
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