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The superiorly based auricular flap.

H T Hoffman¹, E A Bolz

¹Nalle Clinic, Charlotte, NC.

American Journal of Otolaryngology

|September 1, 1988

Summary

This summary is machine-generated.

This study introduces a regional random pattern flap for reconstructing the mastoid area after auricle removal. This vascularized flap offers superior protection for facial nerves and mastoid contents compared to skin grafts.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Otolaryngology

Background:

Reconstruction of the mastoid area after trauma or surgery often requires specialized flaps.
Skin grafting has limitations in protecting exposed vital structures like the facial nerve.

Observation:

A superiorly based auricular flap, created by removing cartilage from the auricular remnant, is described.
This skin-perichondrial flap covers both medial and lateral surfaces of the upper ear.

Findings:

The described flap is a viable option for covering mastoid defects, particularly when irradiation or infection compromises healing.
It provides vascularized tissue, offering enhanced protection for the facial nerve and mastoid contents over traditional skin grafts.

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Implications:

This technique offers a valuable reconstructive solution for complex mastoid defects.
While cosmetic deformity is a potential drawback, it can be managed with prosthetics, highlighting the flap's functional benefits.