title: Utility of a bilayered banner transposition flap in reconstruction of the lower third of the pinna.
abstract: BACKGROUND
  Reconstruction of the entire ear lobule is challenging and complex. We present a case in which a banner transposition flap from the preauricular and mandibular area of the cheek resulted in an excellent cosmetic outcome.
  
  
  OBJECTIVE
  To demonstrate the utility of a bilayered banner transposition flap to reconstruct a full-thickness defect of the inferior one-third of the pinna.
  
  
  METHODS
  The technique employed in this reconstruction is described and previously reported techniques are reviewed.
  
  
  RESULTS
  A symmetrical earlobe with normal tissue consistency was created, as noted at 4 months postoperatively.
  
  
  CONCLUSIONS
  Utilization of a banner transposition flap should be considered as an excellent method for reconstruction of full-thickness defects of the lower one-third of the ear.
authors.affiliation: Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
authors.forename: D
authors.initials: D
authors.lastname: Tannir
authors.forename: B
authors.initials: B
authors.lastname: Leshin
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery*; D004428:Ear Neoplasms / Q000601:surgery*; D004431:Ear, External / Q000601:surgery*; D006801:Humans; D008297:Male; D015580:Mohs Surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps