Related Experiment Video
Updated: Dec 17, 2025
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
249
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
Summary
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.
- 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.
