Subcutaneous Pedicled V-Y Advancement Flap for Surgical Reconstruction of the Auricle of the Ear

The subcutaneous pedicled V-Y advancement flap is useful for the repair of small and medium sized defects in areas where it is easy to obtain a good subcutaneous pedicle (upper lip, cheek, eyebrow, and nasal tip and ala). The almost complete absence of subcutaneous tissue on the anterior aspect of the auricle of the ear can limit the use of this approach in this region. We present 4 patients in whom subcutaneous pedicled V-Y advancement flaps were used to repair surgical defects of the helix, scaphoid fossa, and antitragus, achieving a good functional and aesthetic result in all cases. (C) 2012 Elsevier Espana, S.L. and AEDV. All rights reserved.