Tubed Flap Interpolation in Reconstruction of Helical and Ear Lobe Defects

Mascio, Donatello Di; Castagnetti, Fabio

doi:10.1111/j.1524-4725.2004.30182.x

Cited by 7 publications

(6 citation statements)

References 11 publications

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“…Di Mascio et al have described interpolation tubed flap for helical and ear lobe defects. 16 They reconstructed four ear defects using interpolation flap using three stages. They did not do any preconditioning of the flap, and the vascular compromise was prevented by increasing the duration between two surgeries, which varied from 4 to 6 weeks.…”

Section: Discussionmentioning

confidence: 99%

Postauricular Tubed Flap in the Reconstruction of Auricular Margin Defects: Revisited

Sinha

Baranwal

Babu

et al. 2021

Indian J Plast Surg

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Background Reconstruction of the auricular margin defects is challenging due to the ear’s intricate architecture. Tubed flap raised from the postauricular area is a simple and reliable option for reconstructing marginal defects. Methods Eight patients with various auricular margin defects were reconstructed, using a postauricular tubed flap in a staged manner. Parameters like flap survival, reliability, complications, and cosmesis were assessed. Results Out of eight patients, one patient had marginal necrosis, which was managed with debridement and lengthening of the flap. All the flaps settled well with a good aesthetic outcome. Conclusion Postauricular tubed flap is a reliable and efficient method for reconstructing auricular margin defects.

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Section: Discussionmentioning

confidence: 99%

Postauricular Tubed Flap in the Reconstruction of Auricular Margin Defects: Revisited

Sinha

Baranwal

Babu

et al. 2021

Indian J Plast Surg

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“…[34678111213] They broadly fall into five categories: (a) Preauricular flap reconstruction; (b) postauricular flap reconstruction; (c) superimposition of two opposing or paired flaps; and (d) tissue expansion using a tubed flap; (e) a combination of techniques. [4] Some of the drawbacks of these described methods include; burden on the patient from a two-stage procedure, an unnatural contour of the lobule, firmness due to placement of cartilage and flaps from the neck may bring abnormally hairy skin to the ear lobule.…”

Section: Discussionmentioning

confidence: 99%

Single stage reconstruction of type IIA defect of the ear lobule: The limberg flap technique revisited

Ibrahim

2014

J Surg Tech Case Report

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The ear lobule is an important reference point for symmetry of the face and its loss causes an obvious aesthetic abnormality. Type II A defects are characterized by loss of the ear lobule without presence of a nubbin of tissue attached to the cheek. Such defects are typically seen in individuals having an unattached ear lobule. The goal of surgery should be an aesthetically pleasing reconstruction that maintains symmetry with the opposite ear lobule. The Limberg-flap technique using a doubled-over skin flap allows a one stage reconstruction of the ear lobule. It is technically simple and may be performed under local anesthesia. The aesthetic results are generally well acceptable and there is a good color match between the neolobule and the surrounding skin.

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“…The multi-staged retro-auricular tubed flap was used in reconstructing earlobe losses and one helical loss with satisfactory outcome. This technique, though obsolete, has continued to provide solace to reconstructive surgical practice in regions where microsurgical facilities are yet to find routine use [11][12][13] . Two patients with less extensive helical losses had wedge excision and closure in the fourth and seventh week of injury.…”

Section: Discussionmentioning

confidence: 99%

Human Bites of the Face with Tissue Losses in Cosmopolitan Northern Nigeria

Asuku¹,

Adeola²,

Obiadazie³

et al. 2010

Nigerian Journal of Surgical Research

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A retrospective series of thirty-six cases of human bites to the face with tissue losses requiring reconstruction during a five-year period, January 1999 to December 2003 is presented. The unmarried female in her third decade dominated both as victim and assailant in incidences related to love affairs and love gone sour. The middle third of the lower lip was the most commonly bitten part with a majority of these presenting early. Copious larvage under broad-spectrum systemic antibiotic cover as well as antitetanus regimen allowed delayed primary repair in the first week of injury in a majority of the patients. Our reconstructive armamentarium included V-excisions and closure for lip defects, the superiorly based naso-labial flap for nasal ala defects and the retro-auricular tubed flap for helical rim and ear-lobe defects. Outcome was generally satisfactory though a longer follow-up data is desirable. Experience with hypertrophic scarring and keloid formation in our patient population continues to be a major factor in the choice of reconstructive techniques in our regional practice.

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Tubed Flap Interpolation in Reconstruction of Helical and Ear Lobe Defects

Abstract: Although it is considered an old technique and it is a multistage reconstructive sequence, this procedure could be the first preference in cases of marginal defects more than 2.5 cm wide. This is because it restores naturally the anatomy of the helix.

Cited by 7 publications

References 11 publications

Postauricular Tubed Flap in the Reconstruction of Auricular Margin Defects: Revisited

Postauricular Tubed Flap in the Reconstruction of Auricular Margin Defects: Revisited

Single stage reconstruction of type IIA defect of the ear lobule: The limberg flap technique revisited

Human Bites of the Face with Tissue Losses in Cosmopolitan Northern Nigeria

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