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Inferiorly Based Preauricular Flap for Anterior Ear Reconstruction
Alex Sorkin1, Lior Heller1, Geva Landau1
1From the Departments of Plastic Surgery.
Annals of Plastic Surgery
|January 7, 2020
Summary
This study presents a simple, single-stage surgical flap for reconstructing anterior auricle defects. The technique offers excellent aesthetic outcomes for ear reconstruction, addressing challenges in this complex anatomical area.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- The anterior auricle is a complex 3D structure vital for facial aesthetics.
- Reconstructing anterior ear defects is challenging due to limited skin and inability to graft exposed cartilage.
- Defects often result from tumor resections or post-otoplasty necrosis.
Purpose of the Study:
- To present a simple, reproducible, single-stage surgical flap technique.
- To reconstruct defects on the anterior aspect of the auricle.
- To achieve excellent aesthetic results in ear reconstruction.
Main Methods:
- A series of 11 patients underwent reconstruction using an inferiorly based, preauricular cutaneous flap.
- Reconstructions were performed under local anesthesia for defects averaging 1.5 cm.
- The flap was applied to various sites on the anterior auricle.
Main Results:
- The flap demonstrated high success, with only one case of partial flap loss.
- Excellent aesthetic results were achieved, with no auricular deformity observed.
- The flap proved effective for defects resulting from tumor resections and skin necrosis.
Conclusions:
- The inferiorly based preauricular flap is a versatile option for anterior ear defect reconstruction.
- This single-stage technique is safe, simple, and reproducible.
- The method yields excellent aesthetic outcomes for diverse anterior auricular defects.
