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The postauricular (revolving door) island pedicle flap revisited
T R Humphreys1, L H Goldberg, D R Wiemer
1Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA.
Background:
Few satisfactory closure options exist for large anterior auricular defects.
Objective:
To describe the use of the postauricular (revolving door) island pedicle flap for closure of large defects on the scapha, antihelix, and helix.
Methods:
Mohs micrographic surgery for excision of basal cell carcinoma was performed on the anterior auricular surface of two patients. Both defects were closed using a posterior auricular island flap that was advanced through cartilage with excellent cosmetic results. Other closure options are discussed for this region.
Conclusion:
The postauricular (revolving door) island pedicle flap is a good closure option for large anterior auricular defects lacking perichondrium and not easily repaired by other methods.
