Modified Antia-Buch repair for full-thickness upper pole auricular defects.
Various reconstructive techniques have been described for repair of full-thickness upper pole auricular defects. The wedge excision commonly used for treatment of upper pole tumors allows excision and reconstruction in a single stage. However, this technique suffers from major deficiencies. We apply the concept of crescentic scaphal excision and the Antia-Buch advancement-rotation flap principle to repair various full-thickness upper pole auricular defects resulting from excision of skin lesions in eight consecutive patients. The technique achieves a natural auricular shape in three dimensions with minimal disruption of the anatomic landmarks and avoids conspicuous scars. It has several advantages over the original Antia-Buch repair and other techniques used for reconstruction of full-thickness upper pole auricular defects.
Bialostocki
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Wellington Regional Plastic and Maxillofacial Surgery Unit at Hutt Hospital, New Zealand.
Tan
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D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004428:Ear Neoplasms / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures