Ear Reconstruction with Postauricular Flap

The post-auricular flap is utilized for larger ear reconstructions.  More commonly, it is reserved for defects that are not amenable to primary closure or helical rim advancement flaps.

DOi#: http://dx.doi.org/10.17797/4k9jzjrexh

Postauricular flap for ear reconstruction
The postauriuclar flap is indicated for large ear defects that are not amenable to helical rim advancement flap or skin graft reconstruction
The post auricular flap should not be performed in patients who can not undergo surgery.
The surgery can be done with local anesthesia. Additional sedation is at the surgeon preference.
The flap donor site is identified immediately posterior the postauriclar suclus. The base of the flap is at the harline margin.
Advantages Better tissue match and color than a skin graft Disadvantages Can require 2 stages or skin grafting of the donor site
These include bleeding, infection, scarring, asymmetry, wound disruption, partial flap loss, total flap loss, need for wound care, sensory disturbance, alopecia, and need for revision.
Tanna N, Clary MS, Conrad DE, Joshi AS, Lindsey WH. Reliability of the helical advancement flap for auricular reconstruction. Plast Reconstr Surg. 2010;125:202e-3e.

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