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J Cosmet Med 2021; 5(2): 82-85

Published online December 31, 2021

https://doi.org/10.25056/JCM.2021.5.2.82

A case of modified advancement flap for an auricular skin defect

Geun Woo Park , MD, Gyo Han Bae , MD, Tae Young Jung , MD, Woong Jae Noh , MD

Department of Otorhinolaryngology Head and Neck Surgery, Maryknoll Hospital, Busan, Rep. of Korea

Correspondence to :
Woong Jae Noh
E-mail: spgbs@hanmail.net

Received: May 28, 2021; Revised: June 9, 2021; Accepted: June 16, 2021

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

The auricle is susceptible to damage because of its position in the body. Reconstruction of auricular defects, especially on the anterior side, is challenging considering the thin skin compartment and complex topography. Various techniques can be used for reconstruction, of which local flaps are preferred owing to their excellent outcomes. We report a case of cutaneous squamous cell carcinoma in the cavum concha that was successfully reconstructed with a modified advancement flap technique. We would like to share our experience and suggest the modified advancement flap as an option for reconstruction.

Keywords: reconstructive surgical procedures, skin neoplasms, surgical flaps

Fig. 1.Gross finding showed papillomatous mass (arrow head) in right cavum concha, which is blocking the orifice of external auditory canal (star: tragus; asterisk: antitragus).
  1. Oh CM, Cho H, Won YJ, Kong HJ, Roh YH, Jeong KH, et al. Nationwide trends in the incidence of melanoma and nonmelanoma skin cancers from 1999 to 2014 in South Korea. Cancer Res Treat 2018;50:729-37.
    Pubmed KoreaMed CrossRef
  2. Gurudutt VV, Genden EM. Cutaneous squamous cell carcinoma of the head and neck. J Skin Cancer 2011;2011:502723.
    Pubmed KoreaMed CrossRef
  3. Humphreys TR, Goldberg LH, Wiemer DR. The postauricular (revolving door) island pedicle flap revisited. Dermatol Surg 1996;22:148-50.
    Pubmed CrossRef
  4. Brodland DG, Zitelli JA. Surgical margins for excision of primary cutaneous squamous cell carcinoma. J Am Acad Dermatol 1992;27(2 Pt 1):241-8.
    CrossRef
  5. Son SB, Seo SH, Kim IH. Original article: clinical findings and recurrence rate of 123 skin cancers treated with Mohs microscopic surgery. Korean J Dermatol 2008;46:8-15.
  6. Masson JK. A simple island flap for reconstruction of conchahelix defects. Br J Plast Surg 1972;25:399-403.
    CrossRef
  7. Dessy LA, Figus A, Fioramonti P, Mazzocchi M, Scuderi N. Reconstruction of anterior auricular conchal defect after malignancy excision: revolving-door flap versus full-thickness skin graft. J Plast Reconstr Aesthet Surg 2010;63:746-52.
    Pubmed CrossRef
  8. Golash A, Bera S, Kanoi AV, Golash A. The revolving door flap: revisiting an elegant but forgotten flap for ear defect reconstruction. Indian J Plast Surg 2020;53:64-70.
    Pubmed KoreaMed CrossRef
  9. Jackson IT, Milligan L, Agrawal K. The versatile revolving door flap in the reconstruction of ear defects. Eur J Plast Surg 1994;17:131-3.
    CrossRef
  10. Krespi YP, Pate BR Jr. Auricular reconstruction using postauricular myocutaneous flap. Laryngoscope 1994;104(6 Pt 1):778-80.
    Pubmed CrossRef

Article

Case Report

J Cosmet Med 2021; 5(2): 82-85

Published online December 31, 2021 https://doi.org/10.25056/JCM.2021.5.2.82

Copyright © Korean Society of Korean Cosmetic Surgery.

A case of modified advancement flap for an auricular skin defect

Geun Woo Park , MD, Gyo Han Bae , MD, Tae Young Jung , MD, Woong Jae Noh , MD

Department of Otorhinolaryngology Head and Neck Surgery, Maryknoll Hospital, Busan, Rep. of Korea

Correspondence to:Woong Jae Noh
E-mail: spgbs@hanmail.net

Received: May 28, 2021; Revised: June 9, 2021; Accepted: June 16, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The auricle is susceptible to damage because of its position in the body. Reconstruction of auricular defects, especially on the anterior side, is challenging considering the thin skin compartment and complex topography. Various techniques can be used for reconstruction, of which local flaps are preferred owing to their excellent outcomes. We report a case of cutaneous squamous cell carcinoma in the cavum concha that was successfully reconstructed with a modified advancement flap technique. We would like to share our experience and suggest the modified advancement flap as an option for reconstruction.

Keywords: reconstructive surgical procedures, skin neoplasms, surgical flaps

Fig 1.

Figure 1.Gross finding showed papillomatous mass (arrow head) in right cavum concha, which is blocking the orifice of external auditory canal (star: tragus; asterisk: antitragus).
Journal of Cosmetic Medicine 2021; 5: 82-85https://doi.org/10.25056/JCM.2021.5.2.82

References

  1. Oh CM, Cho H, Won YJ, Kong HJ, Roh YH, Jeong KH, et al. Nationwide trends in the incidence of melanoma and nonmelanoma skin cancers from 1999 to 2014 in South Korea. Cancer Res Treat 2018;50:729-37.
    Pubmed KoreaMed CrossRef
  2. Gurudutt VV, Genden EM. Cutaneous squamous cell carcinoma of the head and neck. J Skin Cancer 2011;2011:502723.
    Pubmed KoreaMed CrossRef
  3. Humphreys TR, Goldberg LH, Wiemer DR. The postauricular (revolving door) island pedicle flap revisited. Dermatol Surg 1996;22:148-50.
    Pubmed CrossRef
  4. Brodland DG, Zitelli JA. Surgical margins for excision of primary cutaneous squamous cell carcinoma. J Am Acad Dermatol 1992;27(2 Pt 1):241-8.
    CrossRef
  5. Son SB, Seo SH, Kim IH. Original article: clinical findings and recurrence rate of 123 skin cancers treated with Mohs microscopic surgery. Korean J Dermatol 2008;46:8-15.
  6. Masson JK. A simple island flap for reconstruction of conchahelix defects. Br J Plast Surg 1972;25:399-403.
    CrossRef
  7. Dessy LA, Figus A, Fioramonti P, Mazzocchi M, Scuderi N. Reconstruction of anterior auricular conchal defect after malignancy excision: revolving-door flap versus full-thickness skin graft. J Plast Reconstr Aesthet Surg 2010;63:746-52.
    Pubmed CrossRef
  8. Golash A, Bera S, Kanoi AV, Golash A. The revolving door flap: revisiting an elegant but forgotten flap for ear defect reconstruction. Indian J Plast Surg 2020;53:64-70.
    Pubmed KoreaMed CrossRef
  9. Jackson IT, Milligan L, Agrawal K. The versatile revolving door flap in the reconstruction of ear defects. Eur J Plast Surg 1994;17:131-3.
    CrossRef
  10. Krespi YP, Pate BR Jr. Auricular reconstruction using postauricular myocutaneous flap. Laryngoscope 1994;104(6 Pt 1):778-80.
    Pubmed CrossRef

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