Tragus Reconstruction after Tumor Excision with Preauricular Folded Flap

Functional and Aesthetic Tragal Reconstruction in the Age of Mobile Electronic Devices

“…Martínez et al [6] reported a single-stage method using a transposition flap rotated 180 degrees based on the earlobe to reconstruct the tragus, creating projection and hiding the auricular canal. Adler et al [5] also described a single-stage transposition flap from the preauricular area, taking care to restore the pretragus depression and create good projection. Coombs and Lin [7] used a two-stage procedure with a chondrocutaneous transposition flap from the posterior aspect of the conchal bowl.…”

“…Methods for reconstruction after tumor excision have been reported using the concha, lobule, costal cartilage, and various flaps [1–4]. The goals of tragus reconstruction in the past were only to create a pretragal depression and good tragus projection, hide the external meatus, and leave an inconspicuous scar [5]. …”

Tragal Reconstruction After Tumor Excision

“…6 Much of the collective experience in tragal reconstruction stems from microtia reconstruction. An alternative strategy using a folded, preauricular transposition f lap based on the superficial temporal vessels was described by Adler et al 19 Both authors described their technique in case reports with follow-up of 6 months. This was modified by Qin et al 8 with a W-shaped f lap to improve projection and shape of the neotragus.…”

Reconstruction of a Postauricular Defect Using a Preauricular Flap

“…The final defect was oval and occupied a significant portion of the postauricular region. A number of repair options could be considered in this case 1–6 . Of them, skin grafts and scalp flaps are the most commonly used alternatives to reconstruct large postauricular defects, 1 but their aesthetic results are sometimes questionable.…”