WORLD JOURNAL OF PLASTIC SURGERY
Tue, Sep 30, 2025
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Volume 14, Issue 2 (2025)
WJPS 2025, 14(2): 98-102 |
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Hassanpour S E, Rouzbahani A K, Goudarzi Z, Aliakbari M, Mahmoudvand H. Ipsilateral Intact Concha as a Rotational Flap for Reconstruction of Congenital Auricular Defect. WJPS 2025; 14 (2) :98-102
URL: http://wjps.ir/article-1-1461-en.html
URL: http://wjps.ir/article-1-1461-en.html
Seyed Esmail Hassanpour *1 
, Arian Karimi Rouzbahani2 , Zahra Goudarzi3 , Mahya Aliakbari4 , Hormoz Mahmoudvand5
, Arian Karimi Rouzbahani2 , Zahra Goudarzi3 , Mahya Aliakbari4 , Hormoz Mahmoudvand5
1- 1. Department of Plastic and Reconstructive Surgery, Educational Hospital of 15th Khordad, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- 2. Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
3- 4. Bachelor of Nursing Student,scientific Research of Committee, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran , Iran
4- 6. Student Research Committee, Bushehr University of Medical Sciences, Bushehr, Iran
5- 7. Department of Surgery, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
2- 2. Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
3- 4. Bachelor of Nursing Student,scientific Research of Committee, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran , Iran
4- 6. Student Research Committee, Bushehr University of Medical Sciences, Bushehr, Iran
5- 7. Department of Surgery, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
Abstract: (649 Views)
The chondrocutaneous sandwich of the external ear has a delicate and complicated design, making partial ear reconstruction a challenging task for plastic surgeons. In this study, 12 patients who had surgery utilizing the conchal rotational flap and grafting approach were monitored for 1 year after surgery. The upper third of ear deformities have been repaired using a cartilaginous composite flap. Following the procedure, a year later, there were no signs of a seroma, infection, hematoma, deformity, or flap ischemia. All patients had pleasing cosmetic outcomes. The findings of this study suggest that full-thickness upper third auricular abnormalities be repaired utilizing this combination method.
References
1. Siegert R. Combined reconstruction of congenital auricular atresia and severe microtia. In: Aesthetics and Functionality in Ear Reconstruction 2010 (Vol. 68, pp. 95-107). Karger Publishers. [DOI:10.1159/000314565]
2. Joukhadar N, McKee D, Caouette-Laberge L, Bezuhly M. Management of congenital auricular anomalies. Plastic and Reconstructive Surgery 2020;146(2):205e-16e. [DOI:10.1097/PRS.0000000000006997]
3. Siegert R, Magritz R. Otoplasty and auricular reconstruction. Facial Plastic Surgery 2019; 35(04):377-86. [DOI:10.1055/s-0039-1693745]
4. Olshinka A, Yaacobi D, Ad-El D. Congenital convex concha-An unfamiliar auricular deformation and a novel non-surgical management protocol. Otorhinolaryngol Head Neck Surg 5: doi: 10.15761/OHNS.1000229 [DOI:10.15761/OHNS.1000229]
5. Ghassemi A, Modabber A, Talebzadeh M, Nanhekhan L, Heinz M, Hölzle F. Surgical management of auricular defect depending on the size, location, and tissue involved. J Oral Maxillofacial Surg 2013;71(8):e232-42. [DOI:10.1016/j.joms.2013.04.030]
6. Jiang C, Chen B, Lu L, Yan X, Yi B, Shi R. Repair of exposure and fracture of the porous high-density polyethylene framework after ear reconstruction. Head & Face Medicine 2022; 16;18(1):41. [DOI:10.1186/s13005-022-00345-y]
7. Zhu J, Zhao H, Wu K, Lv C, Sun MY, Wang YC, Xing X, Xue CY. Reconstruction of auricular conchal defects with local flaps. Medicine 2016; 95(46):e5282. [DOI:10.1097/MD.0000000000005282]
8. Harounian JA, Fundakowski C. Reconstruction of the conchal bowl. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2017; 28(2):125-9. [DOI:10.1016/j.otot.2017.03.003]
9. Liu X, Zhou T, Zhao T, Xu Z. Reconstruction of an iatrogenic anterior conchal defect with a revolving-door flap. BMC Surgery 2021; 21(1):1-4. [DOI:10.1186/s12893-016-0201-y]
10. Chana JS, Grobbelaar AO, Gault DT. Tissue expansion as an adjunct to reconstruction of congenital and acquired auricular deformities. British journal of plastic surgery. 1997; 50(6):456-62. [DOI:10.1016/S0007-1226(97)90334-9]
11. Changchen W, Xiaosheng L, Bin W, Meirong Y, Ye Z, Bo P. Repair of damage to the skin flap during total auricular reconstruction with tissue expansion. Int J Pediatr Otorhinolaryngol 2020; 139:110470. [DOI:10.1016/j.ijporl.2020.110470]
12. Ebrahimi A, Kazemi A, Rasouli HR, Kazemi M, Motamedi MH. Reconstructive surgery of auricular defects: an overview. Trauma Mon 2015;20(4): e28202. [DOI:10.5812/traumamon.28202]
13. Storck K, Staudenmaier R, Buchberger M, Strenger T, Kreutzer K, Von Bomhard A, Stark T. Total reconstruction of the auricle: our experiences on indications and recent techniques. Biomed Res Int 2014 14;2014: 373286. [DOI:10.1155/2014/373286]
14. DePamphilis MA, Buta MR, Bojovic B, Driscoll DN. Pediatric postburn ear reconstruction of significant cartilage defects. J Burn Care Res 2023; 44(4):837-44. [DOI:10.1093/jbcr/irac187]
15. Li G, Zhang B, Ding W, Ouyang H, Long X, Fu A, Liu X. Reconstruction of Concha-type Microtia Using A Delayed Postauricular Skin Flap. Plast Reconstr Surg 2024;153(2):407e-410e. [DOI:10.1097/PRS.0000000000010547]
16. Chen X, Zhang R, Zhang Q, Xu Z, Xu F, Li D, Li Y. Auricular reconstruction in microtia for soft tissue coverage: Flap pocket method versus expansion method. Int J Pediatr Otorhinolaryngol 2022; 152:110987. [DOI:10.1016/j.ijporl.2021.110987]
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