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Published on: December 5, 2025
[Implication of technique of "two-flap" in ear reconstruction]
Lin Lin1, Bo Pan, Hongxing Zhuang
1Auricular Reconstructive Center, Plastic Surgery Hospital, Chinese Acaderny of Medical Sciences, Beijing, 100144, China.
Objective:
To explore the technique of "two-flap" in ear reconstruction.
Method:
Quantitative tissue expansions were used in the mastoid area in the first stage. After the final injection, there was 1 month of sustaining time. Expanded skin flap and unexpanded fascia flap were designed in the second stage, so the "two-flap" technique was used in the ear reconstruction. From January 2004 to December 2008, 1427 patients of microtia were treated using "two-flap" technique.
Result:
The expanded skin flap could show the fine structures of the reconstructed ears. The reconstructed ears had vivid cranioauricular angle after using the unexpanded fascia flap.
Conclusion:
"Two-flap" method was easily manipulated and the complications were rare. The reconstructed ears had lucid and three-dimensional contour.