COMBINED USE OF TURNOVER AND PIVOT FLAP FOR DOUBLE
LAYER CLOSURE OF POSTAURICULAR FISTULA
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