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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
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Reconstruction of auricular conchal defects with local flaps
1Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
Medicine
|November 19, 2016
Summary
Reconstructing the auricular concha is challenging. This study presents periauricular flap techniques, chosen by defect size and location, for successful auricular concha reconstruction with excellent outcomes.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Reconstruction of the auricular concha presents unique challenges due to its complex anatomy.
- Minimizing donor site injury is crucial in reconstructive procedures.
Purpose of the Study:
- To compare different auricular concha repair methods.
- To identify the optimal technique for minimizing donor site morbidity.
Main Methods:
- Comparison of two periauricular flap techniques based on defect characteristics.
- Post-auricular subcutaneous pedicle island flap for larger or superior defects.
- Pre-auricular translocation flap for smaller or inferior defects.
Main Results:
- Both flap techniques demonstrated successful survival and excellent aesthetic results.
- No tumor recurrence or metastasis was observed during a mean 35-month follow-up.
- Patients reported high satisfaction with the functional and aesthetic outcomes.
Conclusions:
- Periauricular flap selection for auricular concha reconstruction should be tailored to defect size and location.
- Appropriate flap choice ensures excellent functional and aesthetic results with minimal donor site impact.
