Section of Plastic and Reconstructive Surgery, Department of General Surgery, Kepler University Hospital - Medcampus 3, Krankenhausstrasse 9, 4020 Linz, Austria; Medical Faculty, Johannes Kepler University, Altenberger Straße 69, 4040 Linz, Austria.
Section of Plastic and Reconstructive Surgery, Department of General Surgery, Kepler University Hospital - Medcampus 3, Krankenhausstrasse 9, 4020 Linz, Austria; Medical Faculty, Johannes Kepler University, Altenberger Straße 69, 4040 Linz, Austria.
J Plast Reconstr Aesthet Surg. 2021 Jan;74(1):130-134. doi: 10.1016/j.bjps.2020.05.078. Epub 2020 May 26.
Reconstruction of the crus of the antihelix after tumor resection is a significant surgical challenge and to date no ideal method has been described. The authors present a novel approach using a pedicled flap from preauricular excess skin, which is tunneled through the helix to the anterior auricular surface.
The presented technique was successfully applied in a series of three patients requiring reconstruction of the superior and inferior crus of the antihelix after resection of skin malignancies. Technique and outcomes are described in detail.
Postoperative course was uneventful in all patients and all flaps healed with excellent esthetic results. Initial flap edema was observed in two cases that resolved spontaneously.
The preauricular pull-through flap is a versatile, straightforward, and reliable method for reconstruction of auricular defects located at the superior and inferior crus of the antihelix, including the triangular fossa, using the natural preauricular skin excess.
肿瘤切除后对反耳轮脚的重建是一项重大的手术挑战，迄今为止尚无理想的方法。作者提出了一种使用耳前多余皮肤的带蒂皮瓣的新方法，该皮瓣通过耳轮隧道至耳前表面。
该技术已成功应用于三例因皮肤恶性肿瘤切除后需要重建反耳轮上、下脚的患者。详细描述了技术和结果。
所有患者的术后过程均顺利，所有皮瓣均愈合，外观极佳。在两种情况下观察到初始皮瓣水肿，均自发消退。
耳前提拉皮瓣是一种灵活、直接、可靠的方法，可使用天然耳前皮肤多余组织重建位于反耳轮上、下脚的耳廓缺损，包括三角窝。
