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Modified Antia-Buch repair for full-thickness upper pole auricular defects
1Wellington Regional Plastic and Maxillofacial Surgery Unit at Hutt Hospital, New Zealand.
Plastic and Reconstructive Surgery
|April 6, 1999
Summary
This study presents a new surgical technique for reconstructing upper pole auricular defects using a modified Antia-Buch flap. The method offers improved natural shape and minimal scarring compared to traditional approaches.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Dermatologic Surgery
Background:
- Full-thickness upper pole auricular defects often require complex reconstruction.
- Existing methods like wedge excision have significant drawbacks.
- The Antia-Buch advancement-rotation flap is a known reconstructive principle.
Observation:
- Eight patients with full-thickness upper pole auricular defects underwent reconstruction.
- The technique combined crescentic scaphal excision with the Antia-Buch flap principle.
- Defects resulted from the excision of skin lesions.
Findings:
- The modified Antia-Buch technique successfully reconstructed auricular defects.
- The method achieved a natural three-dimensional auricular shape.
- Minimal disruption of anatomic landmarks and inconspicuous scars were noted.
Implications:
- This technique offers an effective alternative for auricular defect reconstruction.
- It provides superior aesthetic outcomes compared to previous methods.
- The approach minimizes visible scarring and preserves ear anatomy.