Louca Milton, Grech Stanley Wilfred, Dayaratna Nirmal, Dusseldorp Joseph R
School of Medicine, University of New South Wales, Kensington, NSW, Australia.
School of Medicine, University of Sydney, Cemperdown, NSW, Australia.
J Craniofac Surg. 2024 Sep 16. doi: 10.1097/SCS.0000000000010645.
Skin cancer is the most common malignancy worldwide and the auricle is particularly vulnerable to the effects of cumulative sun exposure. Reconstruction of auricular defects after skin cancer excision remains a vexing surgical challenge owing to the complex three-dimensional- anatomy of the external ear, particularly in the conchal bowl. The postauricular island "revolving door" flap is a reliable single-stage method for reconstructing anterior auricular and conchal defects. While the revolving door flap is well known in the literature, a clear description of how to use the flap to reconstruct an anterior auricular conchal bowl defect is lacking. Herein, we present a step-by-step description of the surgical technique, using surgical photos of a patient who presented with basal cell carcinoma on their anterior auricular concha.
皮肤癌是全球最常见的恶性肿瘤，耳廓尤其容易受到长期阳光照射的影响。由于外耳复杂的三维解剖结构，尤其是在耳甲腔，皮肤癌切除术后耳廓缺损的重建仍然是一个棘手的外科挑战。耳后岛状“旋转门”皮瓣是一种可靠的单阶段方法，用于重建耳廓前部和耳甲缺损。虽然旋转门皮瓣在文献中广为人知，但缺乏关于如何使用该皮瓣重建耳廓前部耳甲腔缺损的清晰描述。在此，我们通过一位患有耳廓前部耳甲基底细胞癌患者的手术照片，对手术技术进行了分步描述。
