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Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
A newly defined conchal floor arterial flap for auricular reconstruction
1Department of Plastic Surgery, Yonsei University College of Medicine, Yongdong Severance Hospital, Yongdong PO Box 1217, Seoul, Korea. chulpark@yumc.yonsei.ac.kr
Plastic and Reconstructive Surgery
|June 28, 2002
Summary
A novel conchal floor arterial flap, based on the posterior auricular artery, offers a more reliable and versatile method for ear reconstruction. This technique successfully corrected nine cases of congenital auricular malformations.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- The conchal floor composite flap, typically based on the superficial temporal artery, is a recognized technique for auricular reconstruction.
- Existing methods present limitations in terms of reliability and versatility for specific auricular defects.
Observation:
- A newly defined conchal floor arterial flap utilizing the posterior auricular artery and its venae comitantes was developed.
- Two variations were described: a proximally based chondral flap for earlobe reconstruction and a distally based chondrocutaneous flap for upper auricle reconstruction.
Findings:
- The newly defined flap demonstrated ease of elevation, enhanced reliability, and greater versatility compared to the established technique.
- Successful reconstruction of nine congenital auricular malformations was achieved using this novel flap.
Implications:
- This flap offers a promising alternative for auricular reconstruction, potentially improving outcomes for patients with congenital ear deformities.
- The described technique expands reconstructive options for plastic and reconstructive surgeons specializing in head and neck procedures.
