Reconstruction of the Concha of the Ear Using a Postauricular Island Flap

Posterior auricular artery fasciocutaneous island flap: lateral temporal soft tissue reconstruction

“…McKinnon and colleagues demonstrate an adequate anastomotic network between the ipsilateral superficial temporal artery, anterior auricular artery, and the occipital artery to allow sacrifice of the PAA . The anatomy of the distal PAA has been previously described as deep to the posterior auricular muscles laterally . Other texts illustrate the artery running medial and superficial to the muscles, as we found in our cadaveric dissections .…”

“…10 The anatomy of the distal PAA has been previously described as deep to the posterior auricular muscles laterally. 3,4,11 Other texts illustrate the artery running medial and superficial to the muscles, as we found in our cadaveric dissections. 12,13 In our dissections, the artery was located superficial and anterior to the posterior auricular muscles ( Figs.…”

“…From simple canal wall down mastoidectomies to more extensive reconstructions after ablative surgery and radiotherapy, the reconstruction options are limited. Several variations of posterior auricular artery based flaps, such as the “Singapore swing” and the “revolving door” are used for reconstruction of the auricle . The temporoparietal fascia flap is frequently used for temporal bone soft tissue coverage .…”

“…Several variations of posterior auricular artery based flaps, such as the "Singapore swing" and the "revolving door" are used for reconstruction of the auricle. [1][2][3][4][5][6] The temporoparietal fascia flap is frequently used for temporal bone soft tissue coverage. 7,8 The latter requires additional incisions that can lead to alopecia and increased operative times.…”

Ohrmuschelverletzungen - Klassifizierung und Therapiekonzept

“…Es erfolgte die Revision und Revaskularisation des inkomplett abgetrennten Anteils, wobei der Knorpel mit resorbierbaren Nähten der Stärke 5-0, die "Transposition rotation flap" Elsahy 1985 [14] "Medial surface flap" "Medial surface flap" Jeffrey 1988 [23] "Self-tubing pedicle flap" Matthis 1989 [27] Conchatranspositionslappen Chao 1990 [9] Retroauriculärer Insellappen Fata 1997 [16] "Composite chondro-cutaneous advancement flap" Park 1998 [36] "Postauriculare skin flap" + "Mastoid fascial flap" Yoshimura 1998 [53] "Costal cartilage graft" + "Superficial mastoid fascial flap"…”