J Drugs Dermatol. 2020 Sep 1;19(9):883-888. doi: 10.36849/JDD.2020.10.36849/JDD.2020.5106.
An approach to the reconstruction of the ear requires consideration of gross anatomy, blood supply, and size of the defect to select the repair. While skin grafts provide a convenient option for many helical and conchal defects, using posterior auricular reservoir can preserve ear contour and hide the scar for an aesthetic closure.
To illustrate the versatility of the post-auricular and mastoid skin reservoir for auricular repairs after surgical removal of a cutaneous malignancy.
MEDLINE, EMBASE, and Cochrane Databases were searched for all techniques using a post-auricular approach for auricular repair of surgical defects in the context of cutaneous oncology until November 2019.
The most well-described techniques of pull-through, post-auricular pedicle and Banner flaps were selected for in-depth review. Illustrative cases and a summary of the spectrum of techniques from case reports are provided.
Few randomized trials exist to compare the outcomes of the flaps to determine a preferred flap technique.
A post-auricular approach for repair of auricular defects can provide a reasonable option for single and multi-staged closure to create an excellent aesthetic outcome while hiding the donor site. More prospective data is required to determine the overall best approach. J Drugs Dermatol. 2020;19(9):883-888. doi:10.36849/JDD.2020.5106.
耳部重建方法需要考虑大体解剖、血液供应和缺损的大小，以选择修复方法。虽然皮片移植为许多耳轮和耳甲腔的缺损提供了方便的选择，但使用耳后储备皮瓣可以保持耳朵的轮廓，并隐藏疤痕，以达到美学上的闭合。
说明耳后和乳突皮瓣储备在切除皮肤恶性肿瘤后进行耳修复的多功能性。
在 2019 年 11 月之前，在 MEDLINE、EMBASE 和 Cochrane 数据库中搜索了所有使用耳后入路修复皮肤肿瘤背景下外科缺损的耳修复技术，包括耳后皮瓣推进、耳后蒂皮瓣和 Banner 皮瓣等。
选择了最详细描述的经皮瓣推进、耳后蒂皮瓣和 Banner 皮瓣技术进行深入综述。提供了说明性病例和病例报告中技术范围的总结。
很少有随机试验比较皮瓣的结果，以确定首选皮瓣技术。
耳后入路修复耳缺损可以为单期和多期闭合提供合理的选择，从而获得良好的美学效果，同时隐藏供区。需要更多的前瞻性数据来确定总体上最好的方法。J 皮肤病药物杂志。2020;19(9):883-888. doi:10.36849/JDD.2020.5106.
