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Updated: Feb 7, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
699
Reconstruction of Preauricular Wounds Using a Flipped Island Pedicle Flap
1*Both authors are affiliated with the Department of Medicine, Division of Dermatology, University of Vermont Medical Center, South Burlington, Vermont.
Summary
Flipped island pedicle flaps (IPFs) effectively reconstruct medium to large preauricular defects after Mohs surgery. This technique offers good cosmetic results with no complications in all treated patients.
Area of Science:
- Dermatologic Surgery
- Reconstructive Surgery
- Mohs Micrographic Surgery
Background:
- Island pedicle flaps (IPFs) are versatile reconstructive tools in dermatologic surgery.
- IPFs can address various facial defects with modifications in technique.
Purpose of the Study:
- To detail the application of a flipped island pedicle flap for reconstructing preauricular defects.
- To evaluate the efficacy of this technique for medium to large defects post-Mohs surgery.
Main Methods:
- A retrospective analysis of 12 patients undergoing flipped IPF reconstruction for preauricular defects.
- Evaluation of patient demographics, defect characteristics, aesthetic outcomes, and complications.
Main Results:
- All 12 patients (9 basal cell carcinomas, 2 squamous cell carcinomas, 1 malignant melanoma) had successful flipped IPF reconstructions.
- Excellent cosmetic outcomes were achieved with no reported complications.
Conclusions:
- Flipped island pedicle flaps are an effective method for reconstructing medium to large preauricular defects.
- The technique provides favorable aesthetic results and a low complication rate.
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