Ear lobe rotation flap for the reconstruction of full-thickness defects of the middle third of the auricle

被引:1
作者
Jaber O. [1 ]
De Salvia G. [1 ]
D’Ambrosio M. [1 ]
Blandini D. [1 ]
机构
[1] Department of Plastic and Reconstructive Surgery, Azienda Socio Sanitaria Territoriale di Lodi, Via Savoia 4, Lodi
关键词
Ear lobe; Ear reconstruction; Rotation flap; Skin cancer; Surgical technique;
D O I
10.1007/s00238-018-1442-z
中图分类号
学科分类号
摘要
The authors propose a novel surgical technique for reconstruction of full-thickness defects of the middle portion of the auricle including the helix and the antihelix up to the neighboring portion of the concha and sparing the whole of the ear lobe. It is a single-stage procedure that is indicated when a large, redundant, and pendulous earlobe exists as typically occurs in the elderly patient. The earlobe is rotated into the full-thickness ear defect and fits as an inlay between two cartilaginous stumps. The ear lobe presents two anatomical patterns: the pendulous or free one, with the ear lobe lying free from the cheek, and the non-pendulous or attached one, where the ear lobe is attached to the cheek. Donor site deformity is therefore limited to the conversion of a pendulous ear lobe pattern into an attached one. Surgery may be scheduled in an outpatient basis as the procedure is easy to plan, is fast to perform, and is carried out under local anesthesia. Level of Evidence: Level IV, therapeutic study. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.
引用
收藏
页码:715 / 718
页数:3
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