scholarly journals A Novel Technique for Reconstruction of a Congenitally Absent Earlobe

2020 ◽  
pp. 014556132097193
Author(s):  
Robert A. Saadi ◽  
Kasra Ziai ◽  
Jessyka G. Lighthall
Keyword(s):  
Congenital Malformations ◽  
Donor Site ◽  
Advancement Flap ◽  
External Ear ◽  
Conchal Cartilage ◽  
Novel Technique ◽  
Cartilage Grafting ◽  
Donor Site Defect ◽  
Rotation Advancement

Objective: Congenital anomalies of the external ear may present a reconstructive challenge, particularly when normal chondrocutaneous components of the auricle fail to develop. Our goal was to develop a novel technique for lobule reconstruction of a congenitally absent earlobe with photographic documentation of the technique. Methods: Informed consent for perioperative photography and publication of case details was obtained. A postauricular, turnover flap with ipsilateral conchal cartilage grafting was performed to reconstruct the lobule, and a superiorly based, postauricular, rotation advancement flap was used to close the donor site defect. Results: Perioperative photographs are included demonstrating technique and cosmetic results. Conclusions: Malformations rarely involve the lobule or lower third of the ear primarily. Literature regarding lobule reconstruction for congenital malformations is scarce. We present a novel technique for lobule reconstruction of a congenitally absent earlobe performed in a single stage that avoids a visible neck scar and allows for simultaneous conchal cartilage harvest. The technique demonstrated satisfactory cosmesis regarding contour and overall appearance and these results remained stable at 1-year follow up.

Donor Site Morbidity Post-Conchal Cartilage Grafting

1997 ◽  
Vol 21 (2) ◽  
pp. 90-92 ◽  
Author(s):  
A.O. Grobbelaar ◽  
B.A. Matti ◽  
F.V. Nicolle
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Conchal Cartilage ◽  
Cartilage Grafting

Retroauricular skin flap and primary Z-plasty for donor site closure in partial ear reconstruction

2003 ◽  
Vol 117 (6) ◽  
pp. 487-489 ◽  
Author(s):  
Raymund E. Horch ◽  
Joerg Schipper ◽  
Roland Laszig
Keyword(s):  
Primary Closure ◽  
Skin Flap ◽  
Donor Site ◽  
Single Stage ◽  
Ear Reconstruction ◽  
Cartilage Graft ◽  
Conchal Cartilage ◽  
Primary Donor ◽  
Conchal Cartilage Graft ◽  
Donor Site Defect

Helical rim defects are noticeable and may well need reconstruction, especially in men. A method for reconstructing this type of defect together with primary donor site closure by Z-plasty is described.To close partial helical rim defects, a retroauricular caudally based rotational skin flap is performed to cover a conchal cartilage graft from the same ear that is harvested first and sutured into place to remodel the helical rim. To primarily close the donor site defect a retroauricular Z-plasty was developed which easily allowed primary closure of the donor site.The technique described here is straightforward, safe and reproducible. The Z-plasty approach for closing the donor site is useful, since the slight disturbance of the hairline is well hidden retroauricularly. This technique can be considered as a single-stage repair modality for the reconstruction of helical rim defects within primary donor site closure.

scholarly journals Coverage of defects over toes with distally based local flaps: A report of four cases

2008 ◽  
Vol 41 (01) ◽  
pp. 62-66
Author(s):  
Ashok Raj Koul ◽  
Rahul K. Patil ◽  
Vinoth Kumar Philip
Keyword(s):  
Donor Site ◽  
Advancement Flap ◽  
Skin Flaps ◽  
Challenging Problem ◽  
Success Rates ◽  
Muscle Flaps ◽  
Variable Success ◽  
Distally Based ◽  
Extensor Digitorum Brevis

ABSTRACTreconstruction of the distal foot, especially of the toe has always been a challenging problem. various methods have been tried with variable success rates and limitations. presented here is a series of four cases, where distally based flaps were used. two of them were extensor digitorum brevis (edb) muscle flaps and the other two were first dorsal metatarsal artery (fdma) based skin flaps. one in each of the two was augmented with a plantar v-y advancement flap. all flaps survived completely without any flap- or donor site-related complications. the patients were ambulated two weeks following the reconstruction and were symptom-free after an average follow-up of thirteen months. distal flaps based on the dorsalis pedis system provide a reliable cover for distal foot defects.

scholarly journals Cervicofacial Rotation Advancement Flap in Cheek Reconstruction

2018 ◽  
Vol 5 ◽  
Author(s):  
Jalal Hamama ◽  
Lahcen Khalfi ◽  
Abdelhafid Achbouk ◽  
Kamal Fiqhi ◽  
Karim El Khatib
Keyword(s):  
Cell Carcinoma ◽  
Advancement Flap ◽  
Random Pattern ◽  
Flap Necrosis ◽  
Patient Demographics ◽  
History Of ◽  
The Mean ◽  
Lost To Follow Up ◽  
Rotation Advancement

Introduction: The Cervicofacial rotation advancement flap (CRAF) is a random-pattern flap that provides an excellent match for cheek reconstruction. In this report, the authors review their experience with this flap and present their advantages in order to expand the awareness and promote the application.Methods: A retrospective analysis of reconstruction of cheek defects using CRAF was performed in 12 patients. Data on patient demographics; diagnosis, defect type, and outcome were collected. Results: These patients included 07 male and 05 female; they ranged in age from 56 to 88 years, with a mean age of 67 years.05 patients used tobacco and one patient had a history of radiation. On histopathological examinations of the specimen, 03patients had squamous cell carcinoma, and 09 patients had basal cell carcinoma. The mean defect size was 40cm² [range 10 to 67cm²]. The mean follow-up was 06 months [0 to 24 months]. One patient was lost to follow-up after suture removal. As complication 01 patient had flap necrosis No facial nerve injury was observed. All patients were pleased with the Cosmetic results outcome. Conclusion: Cervicofacial flap provides a technically simple, reliable, safe, efficient and cosmetic means to reconstruct defects of the cheek.

scholarly journals 57 The Use of a Hemi Glabella Flap for Reconstruction of Medial Canthus Defects

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
P Tan ◽  
J Agilinko ◽  
A Khalil
Keyword(s):  
Donor Site ◽  
Advancement Flap ◽  
Senior Author ◽  
Lateral Nasal Wall ◽  
Oral Antibiotics ◽  
Aesthetic Outcome ◽  
Medial Canthus ◽  
Complex Anatomy ◽  
The Aesthetic

Abstract Background Medial canthal reconstruction is a challenging task due to the complex anatomy. The glabellar flap is a common viable technique; however, this results in narrowing of the eyebrows, bulky nasal dorsum and horizontal scarring which is aesthetically displeasing. The senior author in this paper has developed an intuitive modification to the technique. Method A rotational advancement flap involving the upper lateral nasal wall with the hemi glabella was formed and transferred to the medial canthal defect. The donor site was closed in a V-Y manner. Complete closure of defect was achieved in all patients. Results Reconstruction using the Hemi-Glabellar technique was performed on 12 patients following resection of BCC in or near the medial canthus area. Superficial cellulitis was noted in 2 patients, they were managed oral antibiotics. There was bruising in 7 patient which resolve spontaneously in 4-7 days. All patients had a good outcome at 2 months and 6 months follow up. There was no flap loss and all patients were satisfied with the aesthetic outcome. Conclusions The technique highlighted can be performed easily and is applicable to reconstruction to defects of the medial canthus with excellent aesthetic outcomes with an inconspicuous scar and supple skin with matching colour

Novel technique for the direct closure of the radial forearm flap donor site defect with a local bilobed flap

Head & Neck ◽  
2019 ◽  
Vol 41 (9) ◽  
pp. 3282-3289 ◽  
Author(s):  
Mubarak Ahmed Mashrah ◽  
Yan Lingjian ◽  
Thomas Peter Handley ◽  
Chaobin Pan ◽  
Chen Weiliang
Keyword(s):  
Donor Site ◽  
Radial Forearm Flap ◽  
Direct Closure ◽  
Forearm Flap ◽  
Novel Technique ◽  
Bilobed Flap ◽  
Radial Forearm ◽  
Donor Site Defect
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