Versatility of the bilobed cervical skin flap for total ear reconstruction in the unfavorable temporoauriculomastoid region


MUTAF M., IŞIK D., ATİK B. , BULUT O.

PLASTIC AND RECONSTRUCTIVE SURGERY, vol.118, no.3, pp.652-662, 2006 (Journal Indexed in SCI) identifier

  • Publication Type: Article / Article
  • Volume: 118 Issue: 3
  • Publication Date: 2006
  • Doi Number: 10.1097/01.prs.0000233201.56310.80
  • Title of Journal : PLASTIC AND RECONSTRUCTIVE SURGERY
  • Page Numbers: pp.652-662

Abstract

Background: The unfavorable temporoauriculomastoid region is a serious clinical problem that makes total ear reconstruction a real challenge. In patients who have it, all local flap solutions to provide skin coverage to the cartilage frame are precluded because of loss and/or severe scarring of the regional skin in association with loss of the axial vascularity of the region. In the current literature, all available techniques for these patients are lengthy and risky free flap procedures that can provide a poor quality of skin coverage with no aesthetic harmony at best. In this article, the authors describe the use of the bilobed cervical flap as a new technique for providing skin coverage in total ear reconstruction for patients with an unfavorable temporoauriculomastoid region.