The staged retroauricular to auricular direct pedicle (interpolation) flap for helical ear reconstruction - 11/09/11
Abstract |
Background: A significant soft-tissue defect involving the helix of the external ear may present a difficult challenge to repair. Objective: We describe our experience with the staged retroauricular to auricular pedicle flap for repair of soft-tissue defects with exposed cartilage of the helix of the ear. Methods: The staged pedicle flap was used to repair 26 helical ear defects after excision of basal cell carcinoma (n = 16), squamous cell carcinoma (n = 3), and melanoma (n = 7). Results: Defect size ranged from 1 × 2 cm to 4 × 6 cm (average 2.4 × 3.3 cm). Defects involved the superior helix in 12 patients, mid helix in 11, and inferior helix in three. No cases of infection or flap necrosis occurred. Conclusion: The staged retroauricular to auricular pedicle flap consistently provides a good to excellent functional and cosmetic outcome when performed on properly selected helical ear defects. (J Am Acad Dermatol 1997;37:975-8.)
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 | From the Departments of Dermatology,a Otolaryngology,b and Surgery (Division of Plastic Surgery),c University of Michigan Medical Center and Comprehensive Cancer Center, Ann Arbor. |
| Reprint requests: Timothy M. Johnson, MD, University of Michigan, Department of Dermatology, 1910 Taubman Center, Box 0314, Ann Arbor, MI 48109-0314. |
 | 0190-9622/97/$5.00 + 0 16/1/84866 |
Vol 37 - N° 6
P. 975-978 - décembre 1997 Retour au numéro
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