Casas Ocando Julio*

Otolaryngology - Head and Neck Oncosurgery/Plastic Surgery, Hospital Real San José, Valle Real, Guadalajara, Jalisco, México

*Corresponding Author: Casas Ocando Julio, Otolaryngology - Head and Neck Oncosurgery/Plastic Surgery, Hospital Real San José, Valle Real, Guadalajara, Jalisco, México.

Received: June 24, 2021; Published: July 19, 2021

Abstract

  Reconstruction of the anterior auricular defect and the concha bowl of the ear, which allows improving its contour, is possible through an elegant flap such as a retroauricular rotation flap.

  This retroauricular flap was first described by Massom in 1972 and is known as flip-flop-flap, trap door flap, or saloon door flap. Stucker and Sanders likewise reported their experience with flap closure. This immediate reconstructive technique is a safe and simple one-stage closure procedure of large anterior auricular defects (scapha, antihelix, helix, cavum conchae) with loss of cartilaginous support and excellent aesthetic results. The ear surgical defect is reconstructed with a postauricular (revolving door) island pedicle flap based on the postauricular vessels, it relies on highly vascular underlying tissues, principally the posterior auricular muscle. The blood supply to the auricle is derived from the external carotid artery through its posterior auricular artery. A full-thickness flap is designed with a subcutaneous central pedicle in the retroauricular region, the flap is passed through the window to resurface in the anterior region of the ear and cover the defect.

Keywords: Trap Door Flap; Flip-Flop Flap; Saloon Door Flap; Ear Reconstruction; Concha Defects

References

1. Humphhreys TR., et al. “The postauricular (revolving door) island pedicle flap revisited”. Dermatologic Surgery2 (1996): 148-150.
2. García E., et al. “Carcinoma espinocelular del oído externo con extension parotídea: a propósito de un caso”. Revista del Hospital Italiano de Buenos Aires2 (2016): 53-58.
3. Masson JK. “A simple island flap for reconstruction of concha-helix defects”. British Journal of Plastic Surgery4 (1972): 399-403.
4. Stucker FI and Sanders KW. “A method to repair auricular defects after perichondrial cutaneous grafting”. Laryngoscope8-1 (2002): 1384-1386.
5. Redondo P., et al. “Aggressive tumor of the concha: treatment with postauricular island pedicle flap”. Journal of Cutaneous Medicine and Surgery4 (2003): 339-343.
6. Vuyk H and Cook T. “Auricular reconstruction after Mohs surgery: a review”. FACE1 (1997): 9-21.
7. Russo de la Torre F. “Retroauricular revolving door island flap”. Actas Dermosifiliorg8 (2012): 737-738.
8. Redondo P., et al. “Aggressive tumor of the concha: treatment with postauricular island pedicle flap”. Journal of Cutaneous Medicine and Surgery4 (2003): 339-343.
9. Casas J and Pachano O. “Postauricular revolving door island flap: surgical option to Concha Squamous Cell Carcinoma”. Journal of Otolaryngology-ENT Research6 (2019).

Citation

Citation: Casas Ocando Julio. “Postauricular Revolving Door Island Flap: An Updated Review" Acta Scientific Otolaryngology 3.8 (2021): 85-88.

Copyright

Copyright: © 2021 Casas Ocando Julio. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.