ABSTRACT
Repair of post auricular stula are challenging
owing to scarred tissue and poor blood supply in
this area. Various techniques including locoregional ap cover and cavity obliteration have
been utilized to repair this complicated
problem. In our report, we introduce a novel
technique using a double layer closure utilising
local skin ap successful lasting results. Two
young adults of age 18 Male and 21 year female.
Size of stulas were ranging from 1x2 and 2x2
cm respectively in size. Once the stulous tract
was excised two aps were planned for double
layer closure of stula. First ap for inner lining
was turnover ap. Then another local pivot ap is
planned to cover the secondary defect or the
raw area. It can be either simple rotation ap as
in rst case or Limberg type local transposition
nd defect (2 case) ap. Both stulas were healed
well.
KEYWORDS : Fistula , Post auricular, Flap Closure