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Reconstructing Ear Defects Using the Revolving Door Island Flap: A Case Series.

M Franco-Muñoz1, G Romero-Aguilera1, M Flores-Terry1

  • 1Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España.

Actas Dermo-Sifiliograficas
|June 25, 2020
PubMed
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The revolving door island flap (RDIF) effectively reconstructs anterior pinna defects after tumor resection, offering excellent cosmetic and functional outcomes with minimal complications. This technique provides a reliable solution for challenging ear reconstructions.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Oncology

Background:

  • Anterior pinna defects present significant reconstruction challenges due to complex anatomy and accessibility.
  • The revolving door island flap (RDIF) is a surgical technique explored for ear reconstruction.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of using the RDIF for reconstructing anterior pinna defects after malignant tumor resection.

Main Methods:

  • A retrospective descriptive study was conducted on patients who underwent ear reconstruction using RDIF.
  • The study included patients with defects resulting from malignant tumor resections.

Main Results:

  • Seventeen patients (7 squamous cell carcinoma, 10 basal cell carcinoma) were treated between 2011 and 2019.
Keywords:
Cirugía del cáncer de la orejaCirugía del cáncer de pielCirugía oído externoColgajos quirúrgicosEar cancerOuter ear surgerySkin cancer surgerySurgical flaps

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  • All patients achieved disease-free margins, with a mean follow-up of 40 months and only one local recurrence.
  • Excellent cosmetic and functional results were observed, with normal pinna contour conserved and no need for corrective surgery.

    • Conclusions:

    • RDIF allows for satisfactory pinna reconstruction after tumor removal, preserving structure and function.
    • The technique is simple, effective for large defects, and associated with a low risk of necrosis.
    • Excellent cosmetic outcomes and low recurrence rates were achieved, particularly for defects in the concha, antihelix, triangular fossa, and scapha.