Retroauricular island flap as an innovation for microtia ear reconstruction.
The use of a local island flap, designed with retroauricular skin, is an excellent, simple, and reproducible innovation to the classic microtia ear reconstruction, allowing adequate coverage of the cartilage framework, specifically of the conchal area, sparing tense skin closure, reducing skin suffering and necrosis, with a better aesthetic result achieving the naturally depressed concha aspect. The flap design and surgical technique is described. This flap was used in 13 consecutive microtia ear reconstructions in our unit, no complications were encountered, and aesthetic results were excellent.
Pediatric Plastic Surgery Unit, Dr. Luis Calvo Mackenna Hospital, Santiago, Chile. cmorovic@gmail.com
Carmen Gloria
CG
Morovic
Susana
S
Searle
Claudia
C
Vidal
Carla
C
Florin
D000293:Adolescent; D002356:Cartilage / Q000637:transplantation; D002648:Child; D054644:Ear Auricle / Q000002:abnormalities / Q000601:surgery; D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D013536:Suture Techniques; D055815:Young Adult