gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

The transcartilageous pediculed preauricular island flap – a new alternative for reconstruction of the anterior concha

Meeting Abstract

Suche in Medline nach

  • corresponding author Boris Tolsdorff - ENT Department, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  • author Stefan Tesche - ENT Department, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno101

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2007/07hno101.shtml

Veröffentlicht: 8. August 2007

© 2007 Tolsdorff et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: State of the art for reconstruction of the anterior concha with excellent esthetic results is the postauricular island flap [1]. In most of the cases when using the latter is not possible it is common to use free flaps to avoid multistep reconstructions. Free flaps are dependable if used correctly. Nonetheless pediculed flaps are still the better solution if a donor site is available and an acceptable esthetic result can be expected.

Method: The presented technique was used on a patient who had reconstruction of the right anterior concha with postauricular island flaps 2 times in the past. The postauricular region was scary, so after complete excision of the patients third basalioma from the same ear a preauricular island flap was used to close the defect. Following the preparation of the flap itself and its subcutaneus pedicule a connection incision was performed between the defect and the flap to expose the cartilage of the incisura intertragica from which a fragment was removed to create a cartilage channel. The island flap was then brought into place by simply rotating it about 30 degrees backwards into the defect. The flap needed no pulling, so the pedicule was easily placed into the cartilage channel without any tension or torsion. The procedure was finally completed by suturing the flap into place, closing the connection incision over the pedicule in the cartilage channel and primary closure of the preauricular donor site.

Result: The esthetic result was good. There where no general or specific complications and no visible disadvantages that other one step techniques would have caused at this specific location.

Conclusion: The new preauricular transcartilageous pediculed island flap is a dependable alternative for reconstruction of the anterior concha whenever the postauricular island flap is unavailable and a one step procedure is wanted by the patient.

Figure 1 [Fig. 1]

Figure 2 [Fig. 2]


References

1.
Tolsdorff P, Walter C. Technic and application of the retroauricular insular flap. Laryngol Rhinol Otol (Stuttg). 1974;53(12):887-94.