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Related Experiment Videos

Radial composite chondrocutaneous flap for ear reconstruction

W M Cocke1

  • 1Department of Surgery, Marshall University School of Medicine, Huntington, West Virginia 25755-9450.

The American Surgeon
|April 1, 1995
PubMed
Summary

This study presents a surgical technique for reconstructing moderate-sized upper ear cancers. A composite flap of skin and cartilage is used to repair defects, preserving the ear's structure and appearance.

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Surgical Oncology

Background:

  • Moderate-sized cancers in the upper ear present reconstruction challenges.
  • Standard wedge excisions can lead to significant defects and poor cosmetic outcomes.

Purpose of the Study:

  • To describe a novel reconstructive technique for upper ear defects after cancer excision.
  • To evaluate the efficacy of a composite flap and split-graft method for ear reconstruction.

Main Methods:

  • Wide excision of upper ear cancers, including cartilage, while preserving posterior skin.
  • Reconstruction using a composite flap of skin and cartilage rotated from the middle ear.
  • Closure of donor and recipient sites with post-auricular split-thickness skin grafts.

Main Results:

  • The composite flap effectively supports the superior helix and reconstructs soft tissue defects.
  • This technique avoids large wedge excisions and primary closure, minimizing defect size.
  • Split grafts provide reliable coverage for the flap donor and inset areas.

Conclusions:

  • This composite flap and split-graft technique offers a viable solution for reconstructing moderate upper ear defects.
  • The method preserves ear structure and achieves satisfactory aesthetic results.
  • It represents an effective alternative to traditional methods for upper ear cancer reconstruction.

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