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Related Concept Videos

The Auditory Ossicles01:11

The Auditory Ossicles

The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...

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Anterior Ear Reconstruction with the Posterior Pull-through Flap.

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Summary

This study presents a reliable one-stage surgical technique using a postauricular skin-island flap for reconstructing anterior ear defects after skin cancer removal. The method effectively restores ear shape and position with minimal complications.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Dermatologic Surgery

Background:

  • Central ear defects following skin cancer excision pose a reconstructive challenge.
  • The postauricular skin-island flap offers a potential solution for these defects.

Purpose of the Study:

  • To evaluate the efficacy and safety of a one-stage, postauricular skin-island flap for reconstructing anterior ear defects.
  • To assess the flap's ability to maintain ear shape and position.

Main Methods:

  • Reconstruction of anterior full-thickness ear defects using a skin-island flap based on posterior subcutaneous tissue.
  • The flap was passed through a created aperture in the ear cartilage to avoid epithelial burial.
  • Suturing of flap periphery and harvest site with absorbable sutures.

Main Results:

  • Successful single-stage reconstruction in 22 patients over 9 years for defects ranging from 2-4.5 cm.
  • The technique provided structural support and prevented ear distortion; no flap necrosis occurred.
  • Common venous congestion was self-limiting, with no epithelial cysts observed.

Conclusions:

  • The one-stage postauricular skin-island flap reliably reconstructs anterior ear defects without compromising ear aesthetics.
  • Creating a generous cartilage aperture is crucial for flap passage.
  • This posteriorly-based, pass-through flap offers predictable healing with minimal complications.