Redondo Pedro, Lloret Pedro, Sierra Alejandro, Gil Pilar
Department of Dermatology, University Clinic of Navarra, School of Medicine, Pamplona, Spain.
J Cutan Med Surg. 2003 Jul-Aug;7(4):339-43. doi: 10.1007/s10227-002-0117-2.
The concha is a partially hidden anatomical area characterized by difficult access and reconstruction.
We describe the use of the postauricular (revolving door) island pedicle flap in the treatment of aggressive tumors of the concha.
We present two patients with aggressive cutaneous tumors localized in auricular concha. One of the patients presented with a large ulcerated basal cell carcinoma. The second patient had received a heart transplant, was receiving immunosuppressive therapy, and was affected by a squamous cell carcinoma.
Both defects were closed using a posterior auricular island flap that was advanced through cartilage with excellent cosmetic results.
The postauricular island pedicle flap is well suited for conchal reconstruction because of its proximity to the defect. The flap was transferred from posterior to anterior toward the concha, followed by primary closure of the retroauricular donor site.
耳甲腔是一个部分隐匿的解剖区域，其特点是难以进行手术入路和重建。
我们描述使用耳后（旋转门）岛状带蒂皮瓣治疗耳甲腔侵袭性肿瘤。
我们报告两名患有耳甲腔侵袭性皮肤肿瘤的患者。其中一名患者患有巨大溃疡型基底细胞癌。第二名患者接受过心脏移植，正在接受免疫抑制治疗，患有鳞状细胞癌。
两个缺损均使用通过软骨推进的耳后岛状皮瓣封闭，美容效果极佳。
耳后岛状带蒂皮瓣因其与缺损部位接近，非常适合耳甲腔重建。皮瓣从耳后向前转移至耳甲腔，然后直接缝合耳后供区。
