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The posterior auricular flap: anatomical studies.

P S Kolhe¹, A G Leonard

¹Northern Ireland Plastic and Maxillo-Facial Service, Ulster Hospital, Belfast.

British Journal of Plastic Surgery

|November 1, 1987

Summary

The posterior auricular vessels reliably supply auriculomastoid skin, proving its safety for transfer as island or free flaps in reconstructive surgery.

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Area of Science:

Anatomy
Vascular Surgery
Reconstructive Surgery

Background:

The auriculomastoid region's vascular supply is crucial for reconstructive procedures.
Understanding the reliability of the posterior auricular vessels is essential for flap viability.

Purpose of the Study:

To investigate the detailed blood supply of the auriculomastoid skin.
To establish the dependability of posterior auricular vessels for skin flap viability in this area.

Main Methods:

Arteriograms and cadaver dissections were performed.
India ink perfusion, lead oxide injection, and contact radiography were utilized.
Operative dissections and clinical flap transfers provided additional data.

Main Results:

Detailed vascular mapping of the auriculomastoid skin was achieved.
The posterior auricular vessels were confirmed as a reliable source for flap elevation.
Successful clinical transfers demonstrated the practical application.

Conclusions:

Auriculomastoid skin can be safely transferred using posterior auricular vessels.
This vascular supply supports both island and free flap techniques.
The findings support the use of these flaps in reconstructive surgery.

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