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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081467PMC
http://dx.doi.org/10.4103/JCAS.JCAS_50_21DOI Listing

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Background: Defects of the central ear after skin cancer removal remain a common problem for the reconstructive surgeon. The experience with a one-stage, postauricular, skin-island flap passed through the cartilage to reconstruct ear defects is reported.

Methods: Patients with an intact ear helix and an anterior full-thickness defect (cartilage defects included) were reconstructed with a skin-island flap based on posterior subcutaneous tissue deep to the flap base.

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A successful reconstruction of the upper antihelix defect via postauricular pull-through pedicle flap.

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Clinic of Rheumatology, Orthopedics, Traumatology and Reconstructive Surgery, Vilnius University, Vilnius, Lithuania.

The auricle is a complex anatomic structure with a three-dimensional configuration proper reinstating that poses a substantial reconstructive challenge. The postauricular pull-through flap is perfectly suitable method for the reconstruction of helical and antihelical auricle defects; however, due to its difficult harvest technique, it is not commonly used in a practice. Here we describe a case of a patient with an antihelix defect following basal cell carcinoma (BCC).

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Article Synopsis
  • The anterior auricle is prone to trauma and skin cancers, making its reconstruction challenging due to limited local tissue.
  • Despite their effectiveness, tunneling flaps, a surgical method, haven’t been widely studied in this context.
  • Properly designed tunneled flaps can effectively reconstruct anterior auricle defects while maintaining symmetry.
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Background: An approach to the reconstruction of the ear requires consideration of gross anatomy, blood supply, and size of the defect to select the repair. While skin grafts provide a convenient option for many helical and conchal defects, using posterior auricular reservoir can preserve ear contour and hide the scar for an aesthetic closure.

Purpose: To illustrate the versatility of the post-auricular and mastoid skin reservoir for auricular repairs after surgical removal of a cutaneous malignancy.

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