Compound retroauricular advancement flap

Otero-Rivas, M.M.; González‐Sixto, B.; Alonso-Alonso, Tirso; Valladares-Narganes, Luis-Miguel; Rodríguez-Prieto, Manuel-Ángel

doi:10.1016/j.bjps.2013.07.028

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…Yotsuyanagi et al 33 redistributed the remaining auricular tissue using a combination of full-thickness conchal chondrocutaneous flaps for the defects and postauricular deepithelialized turn-over flaps in donor-site defects. Bayramicli et al 35 and Otero-Rivas et al 36 advanced posterior postauricular chondrocutaneous flaps for helical defects in 1-and 2-stage surgeries, respectively. However, multistage procedures 34,36 require additional skin grafts 1,33,34,36 and secondary flaps 33 for donor defects, dissection, and impairment of anterior auricular surface anatomy, 33,35 and are only recommended for middle-third helical defects 33 ; unnatural flat appearance of the helix 33,35,36 is a limitation of these procedures.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Full-Thickness Helical Defects Using a Superior Auricular Artery-Based Postauricular Chondrocutaneous Flap

Evin,

Evin

2023

Ann Plast Surg

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Background The helix is the most common localization of auricular defects. Various techniques have been successfully used for the reconstruction of helical defects. However, redistributing the remaining auricular tissue to supply an ideal reconstruction base provides the best possible esthetic outcomes. The aim of this study is to present a new design for a postauricular chondrocutaneous flap to reconstruct the 3-dimensional curve and the folded structures in full-thickness helical defects. Methods Nineteen patients with full-thickness helical defects were treated with the superior pedicle chondrocutaneous flap based on the superior auricular artery. The flap was designed on the postauricular area and comprised 3 sections, namely, deepithelialized, chondrocutaneous, and cutaneous sections (proximal to distal). Levels of patient's satisfaction on the final shape and auricular symmetry, and tissue compatibility between the flap and surrounding tissues were evaluated by the patients and objective observers. Results The overall dimensions, projections, and curved structures of the defective helix maintained a smooth and contiguous appearance without asymmetry, notching, or trap-door deformities. The color, texture, and thickness of the flaps matched well with the adjacent auricles, and there was a moderate positive correlation between patient (9.47 ± 0.51) and observer (8.68 ± 0.63) correlation scores (r = 0.7485). The vast majority of the patients were very satisfied with the surgical outcome, and there was a statistically significant improvement in patient satisfaction (mean preoperative score, 1.26 ± 0.45; mean 12-month score, 4.79 ± 0.42; P < 0.00001). Conclusions Reconstruction of full-thickness helical defects requires “like tissue” characteristics and 3-dimensional cartilage support to avoid depression and notch deformities. The postauricular chondrocutaneous flap based on the superior auricular artery was shown to preserve the helical curve and folded sulcus, retain the size and subunits of the auricle, and ensure a color, texture, and thickness match between the flap and the adjacent tissues.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of Full-Thickness Helical Defects Using a Superior Auricular Artery-Based Postauricular Chondrocutaneous Flap

Evin,

Evin

2023

Ann Plast Surg

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“…7,13,24,26 Recently, retroauricular tissue has been used for random-and axial-pattern flaps. Random-pattern flaps, including transposition, 11 advancement, 1,24,27,28 tube, 5,29 interpolation, 30 and revolving door flaps, 11,15,25,31,32 are limited by restricted size and mobility, 1 circulatory problems, the requirement for extensive dissection of the hair-bearing scalp, 24 the need for skin grafts for the donor area, 28 narrowing of the postauricular sulcus, decreased auricular projection, and applicability only in certain regions of the auricle. 24,31 Conversely, the retroauricular region has an extensive vascular network, and various axial pedicle flaps based on the postauricular 7,13,17,[33][34][35][36][37][38] and superior auricular arteries 26,34,37,39 have been proposed as pedicled 26 and free 11 flaps for auricular, periauricular, and even facial reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Extensive Auricular Defects Using a Retroauricular Artery Perforator–Based Propeller Flap

Evin

Akdağ

et al. 2021

Ann Plast Surg

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Background Various local techniques have been successfully used for the reconstruction of auricular defects. However, most local techniques are not suitable for extensive auricular defects. The aim of this study is to investigate the utility of a retroauricular artery perforator–based propeller flap for the reconstruction of extensive auricular defects by evaluating aesthetic outcomes using objective and quantitative parameters. Methods Twenty-one patients with extensive full-thickness and partial-thickness defects were treated with retroauricular artery perforator–based propeller flaps harvested from the mastoid and neck regions. The surgical procedures were performed using single-stage reconstruction in postauricular partial-thickness defects and 2-stage reconstruction in full-thickness auricular defects. Levels of final satisfaction and tissue matching as well as donor scar perception were evaluated by the patients and objective observers. Results The original sizes and projections of the auricles were achieved. The color, texture, and thickness of the flaps matched well with the adjacent auricles. The vast majority of the patients and observers were very satisfied with the surgical outcome. Conclusions Retroauricular artery perforator–based propeller flaps may preserve the size and projection in both partial- and full-thickness extensive defects of the auricle. With this procedure, there was also excellent matching of the color, texture, and thickness of the flap with the adjacent tissue, as well as acceptable levels of donor scarring, thereby achieving satisfactory aesthetic outcomes.

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Partial helix defect repair by use of postauricular advancement flap combined with ipsilateral conchal cartilage graft

Hu¹,

Zhang²,

Zhang³

et al. 2014

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Compound retroauricular advancement flap

Cited by 4 publications

References 2 publications

Reconstruction of Full-Thickness Helical Defects Using a Superior Auricular Artery-Based Postauricular Chondrocutaneous Flap

Reconstruction of Full-Thickness Helical Defects Using a Superior Auricular Artery-Based Postauricular Chondrocutaneous Flap

Reconstruction of Extensive Auricular Defects Using a Retroauricular Artery Perforator–Based Propeller Flap

Partial helix defect repair by use of postauricular advancement flap combined with ipsilateral conchal cartilage graft

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