The DOI matches its Crossref record.
One-stage reconstruction of the antihelix and concha using postauricular island flap
Abstract
Tissue defects in the antihelix and the concha due to oncological resection and trauma can be successfully repaired with a subcutaneously based postauricular island flap. Alternative methods of regional reconstruction usually need two stages or may require grafts in some patients. We present the one-stage technique, as described by Masson, without grafts, to provide adequate reconstruction and aesthetic restoration of the area, illustrated by 62 patients. In all patients there has been a follow-up period of 12 months. This report provides evidence for the aesthetic superiority of this method. An excellent aesthetic outcome was achieved in 46 patients, an adequate outcome in 15 patients, and a poor result in only 1 patient. No flap necrosis was observed. The method has considerable advantages for the repair of anterior conchal and antihelical defects.
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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 [6]
Primary closure, secondary healing, skin grafting, and other local flaps are suboptimal for covering exposed cartilage or composite defects involving anterior skin and cartilage.
“Although, primary closure, secondary healing, skin grafting, and other local flaps are options for resurfacing an anterior auricular defect, they are suboptimal for covering exposed cartilage or composite defects involving anterior skin and cartilage. 5 6 16”
From The Revolving Door Flap: Revisiting an Elegant but Forgotten Flap for Ear Defect Reconstruction (2020) · cites this paper as [6]
There is a chance of flap congestion if the flap is either too small or too large.
“There is a chance of flap congestion if the flap is either too small 6 or too large”
From The Revolving Door Flap: Revisiting an Elegant but Forgotten Flap for Ear Defect Reconstruction (2020) · cites this paper as [6]
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Research works printed but not linked: 10
- Mason, 1972, A simple island flap for reconstruction of concha helix defects, Br J Plast Surg, 25, 399, 10.1016/S0007-1226(72)80083-3 · DOI
- Chen, 1990, Improved technique for a one-stage repair of significant defects of the ear, Plast Reconstr Surg, 86, 987, 10.1097/00006534-199011000-00027 · DOI
- Orticochea, 1976, A postauricular flap to reconstruct facial defects, Br J Plast Surg, 29, 325, 10.1016/0007-1226(76)90016-3 · DOI
- Lewin, 1950, Formation of the helix with a postauricular flap, Plast Reconstr Surg, 5, 432, 10.1097/00006534-195005000-00007 · DOI
- Eliezri, 1992, Cancer recurrence following Mohs micrographic surgery. A mechanism of tumor persistence, Plast Reconstr Surg, 90, 121, 10.1097/00006534-199207000-00020 · DOI
- Turan, 2006, Reconstruction of the anterior surface of the ear using a postauricular pull-through neurovascular island flap, Ann Plast Surg, 56, 609, 10.1097/01.sap.0000203986.20454.26 · DOI · Paper page
- Fisher, 1992, Textbook of Plastic, Maxillofacial, and Reconstructive Surgery, 29
- Azaria, 2004, Anterior conchal reconstruction using a posteroauricular pull-through transpositional flap, Plast Reconstr Surg, 113, 2071, 10.1097/01.PRS.0000121186.46720.B0 · DOI
- Mouly, 1979, Subcutaneous flap for reconstruction of the concha and anterior surface of the auricle of the ear, Ann Chir Plast, 24, 191
- Wood-Smith, 1995, Reconstruction of acquired ear defects with transauricular flaps, Plast Reconstr Surg, 95, 173, 10.1097/00006534-199501000-00031 · DOI
Cited by
Sorted by citations
Versatility of the posterior auricular flap in partial ear reconstruction
Schonauer, F., Vuppalapati, G., Marlino, S., Santorelli, A., Canta, L., & Molea, G. (2010) · Plastic and Reconstructive Surgery · doi:10.1097/prs.0b013e3181ec1f03 · Cited by 54
The Revolving Door Flap: Revisiting an Elegant but Forgotten Flap for Ear Defect Reconstruction
Golash, A., Bera, S., Kanoi, A. V., & Golash, A. (2020) · Indian Journal of Plastic Surgery · doi:10.1055/s-0040-1709531 · Cited by 12
Franco-Muñoz, M., Romero-Aguilera, G., Flores-Terry, M., González Ruíz, L., Rogel Vence, M., Sánchez Caminero, M. P., & García-Arpa, M. (2020) · Actas Dermo-Sifiliográficas · doi:10.1016/j.ad.2020.03.002 · Cited by 7
Metadata
- Authors
- Papadopoulos, O. N., Karypidis, D. K., Chrisostomidis, C. I., Konofaos, P. P., & Frangoulis, M. B.
- Affiliations
- Laiko General Hospital of Athens (GR)
- National and Kapodistrian University of Athens (GR)
- Corresponding author
- Karypidis, D. K.
- Venue
- Clinical and Experimental Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-09
- Volume
- 33
- Issue
- 5
- Pages
- 647-650
- ISSN
- 0307-6938 (ISSN-L)
- 1365-2230
- OpenAlex
- W1966563782
- Cited by
- 20
- References
- 0
- Citations by year
- 2026: 2 · 2023: 2 · 2020: 6 · 2019: 1 · 2018: 2 · 2016: 2 · 2015: 1 · 2014: 1
- FWCI
- 1.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical and Experimental Dermatology (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Keywords
- one-stage reconstruction, auricular defects, ear reconstruction, cosmetic outcome, flap necrosis, ear trauma
- MeSH terms
- Adult, Aged, Aged, 80 and over, Ear Deformities, Acquired, Ear Neoplasms, Ear, External, Female, Humans, Male, Middle Aged, Surgical Flaps, Treatment Outcome
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