Combined flap for the reconstruction of upper-third auricular complex defects involving the helix root

The reconstruction of oncological defects located in the upper third of the helical rim presents a significant surgical task due to the anatomical complexity of the ear with its concave and convex features, along with the presence of cartilaginous structures.1 Moreover, the necessity to preserve its...

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Detalles Bibliográficos
Autores: Salido-Vallejo, R. (Rafael)|||/items/358e939a-9001-4a19-a55d-f8dc95c53c34, Oteiza-Rius, I. (Inés)|||/items/5748fb1f-79bd-45b4-9aa3-d056843dd4ab, Morelló-Vicente, A. (Ana)|||/items/09288d61-6582-4b4a-aaa5-7c5561d14db0, Antoñanzas-Perez, J. (Javier)|||/items/1a5aa116-61aa-49da-a66e-b56aa0de2f29, España-Alonso, A. (Agustín)|||/items/a6e3549c-ab30-4d2e-90a5-fd108573bc9f
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/116123
Acceso en línea:https://hdl.handle.net/10171/116123
Access Level:acceso abierto
Palabra clave:Reconstruction
Combined flap
Auricle
Descripción
Sumario:The reconstruction of oncological defects located in the upper third of the helical rim presents a significant surgical task due to the anatomical complexity of the ear with its concave and convex features, along with the presence of cartilaginous structures.1 Moreover, the necessity to preserve its functionality, particularly in the helix root, and maintain facial symmetry, adds further complexity to the process. Consequently, choosing the optimal reconstruction option for the helix depends on various factors, such as the size and extent of the defect, as well as the characteristics of the patient. There are multiple reconstructive options described to date such as temporoparietal fascia flaps,2 retroauricular flaps,1 or chondrocutaneous composite transposition flaps.3 From our experience, combining flaps may be suitable for defects affecting the upper third of the helix, including the helix root, as they can help to align with the demands of this particular location.