Superior Helical Rim Reconstruction with a Retroauricular Perforator Transposition Flap: The Importance of a “Lifeboat” Vascular Supply

Helical Rim Reconstruction: Antia-Buch Flap

DESCRIPTION A 67-year-old male patient presented with basal cell carcinoma of the superior helix of the left ear. He underwent Mohs surgery with complete tumor excision resulting in an approximately 2.5 cm open wound with exposed cartilage. The defect was reconstructed with an Antia-Buch chondrocutaneous advancement flap.

Staged retroauricular flap for helical reconstruction after Mohs micrographic surgery*

Staged retroauricular flap is a great option for full-thickness defects along the helical rim and antihelix. Donor site consists of the posterior ear, postauricular sulcus and mastoid area. The advantages of this flap include hidden donor scar, donor tissue similarity and rich vascularity. We present a case of collision tumor on the left helix treated with Mohs micrographic surgery and the resu...

One-Stage Ear Reconstruction After Avulsion Injury, Using the Amputated Cartilage and a Retroauricular Transposition Flap

INTRODUCTION Auricular reattachment or reconstruction after traumatic ear loss remains a challenge for the plastic reconstructive surgeon. Because of the diverse accident mechanisms, no standard algorithms exist and several modalities have been proposed in the literature. METHODS A case of an innovative ear reconstruction of a partially avulsed ear is presented. The amputated cartilage was re...

Full thickness advancement flap to reconstruct large helical rim

Introduction: Auricular reconstruction of partial ear defects is usually challenging, especially in extended resections or traumas. Helical rim is the most noticeable part of ear with aesthetic significance, which demands detailed procedures. Helical rim advancement is a known procedure to reshape lacerated rim. In the original technique, a chondrocutaneous flap is raised in order to preserve t...

Reconstruction of an Irradiated Perineal Wound With a Superior Gluteal Artery Perforator Flap