medigraphic.com
Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC

2023, Number 3

<< Back Next >>

Dermatología Cosmética, Médica y Quirúrgica 2023; 21 (3)

Retroauricular revolving door island flap

Aguilar PJC, Soto OJA

Language: Spanish
References: 11
Page: 228-230
PDF size: 183.79 Kb.


ABSTRACT

The retroauricular revolving door island flap, initially described in the 1970s and later modified in the 1990s, represents a myocutaneous flap obtained from the auriculo-mastoid region, which is used to repair defects of the concha and nearby areas of the auricula, involving (or not) the underlying cartilage, to obtain adequate results from both the oncological and cosmetic point of view. It is considered a first-choice technique for the reconstruction of these defects and has shown superiority to other reconstruction options. We present the results achieved from five cases of patients with basal cell carcinoma in the auricular concha and surrounding areas. The relevance of knowing and correctly applying this technique by the dermatologic surgeon is highlighted.


REFERENCES

  1. Masson JK, A simple island flap for reconstruction of concha-helixdefects, Br J Plast Surg 1972; 25(4):399-403.

  2. Talmi YP, Horowitz Z, Bedrin L y Kronenberg J, Auricular reconstructionwith a postauricular myocutaneous island flap: flip-flopflap, Plast Reconstr Surg 1996; 98(7):1191-9.

  3. Redondo P, Lloret P, Sierra A y Gil P, Aggressive tumors of the concha:treatment with postauricular island pedicle flap, J Cutan MedSurg 2003; 7(4):339-43.

  4. Dessy LA, Figus A, Fioramonti P, Mazzocchi M y Scuderi N, Reconstructionof anterior auricular conchal defect after malignancyexcision: revolving-door flap versus full-thickness skin graft, J PlastReconstr Aesthet Surg 2010; 63(5):746-52.

  5. Motsch C y Ulrich J. The retroauricular subcutaneously pedicledisland flap for reconstruction of auricular conchal defects, J DtschDermatol Ges 2018; 16(4):508-10. doi: 10.1111/ddg.13477.

  6. Jury J, Jury C, Sepúlveda T y Jury O, Colgajo giratorio retroauricular,Rev Otorrinolaringol Cir Cabeza Cuello 2020; 80(3):295-6. doi:10.4067/S0718-48162020000300295.

  7. Russo de la Torre F, Colgajo retroauricular en isla en puerta giratoria,Actas Dermosifiliogr 2012; 103(8):737-8.

  8. Iljin A, Lewandowicz E, Antoszewski B, Durko M y Zielin´ ski T, Resultsof auricular conchal bowl reconstructions following cancerresections with postauricular island flap, Pol Przegl Chir 2016;88(6):315-20. doi: 10.1515/pjs-2016-0070.

  9. Talmi YP, Liokumovitch P, Wolf M, Horowitz Z, Kopolovitch J y KronenbergJ, Anatomy of the postauricular island “revolving door”flap (“flip-flop” flap), Ann Plast Surg 1997; 39(6):603-7.

  10. Córdova A, D’Arpa S, Pirrello R, Giambona C y Moschella F, Retroauricularskin: a flaps bank for ear reconstruction, J Plast ReconstrAesthet Surg 2008; 61 Suppl1:S44-51. doi: 10.1016/j.bjps.2007.09.004.

  11. Perandones-González H, Fernández-Canga P y Rodríguez-PrietoMA, Transillumination for retroauricular revolving door island flapdesign”, J Am Acad Dermatol 2021; 85(6):e335-7. doi: 10.1016/j.jaad.2020.04.038




2020     |     www.medigraphic.com