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VIDEOS OF SURGICAL PROCEDURES IN DERMATOLOGY
Retroauricular Revolving Door Island Flap
Colgajo retroauricular en isla en puerta giratoria
F. Russo de la Torre
Hospital Punta de Europa, Algeciras, Cádiz, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Description</span><p id="par0005" class="elsevierStylePara elsevierViewall">The retroauricular revolving door island flap&#44; first described by Masson in 1972&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> is very useful for the reconstruction of large defects of the concha of the auricle of the ear&#46; It is harvested from the retroauricular area and is raised as an island &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; so that it can rotate like a hinge on its pedicle and pass through the defect in the auricle &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; The flap is then sutured to cover the defect of the concha &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#44; and the retroauricular area is closed by simple suture &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Technique</span><p id="par0010" class="elsevierStylePara elsevierViewall">The technique can be observed in video 1&#44; included with the electronic version of this article&#44; available at <a href="http://www.elsevier.es/ad">http&#58;&#47;&#47;www&#46;elsevier&#46;es&#47;ad</a></p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Indication</span><p id="par0015" class="elsevierStylePara elsevierViewall">This technique is used only for defects of the concha of the auricle&#44; particularly for lesions that require excision of the underlying cartilage&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The larger the defect of the concha&#44; the better the results obtained&#44; because it is possible to use a larger pedicle&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Contraindications</span><p id="par0025" class="elsevierStylePara elsevierViewall">The retroauricular island flap is not indicated for small defects due to a risk of necrosis&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">It cannot be used if the cartilage beneath the primary defect is still present&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Benefits</span><p id="par0035" class="elsevierStylePara elsevierViewall">The flap covers full-thickness defects of skin and cartilage in an area of difficult surgical management&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">It is one of the most elegant flaps in surgery of the head and neck&#44; but it does require a degree of experience and time&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Risks</span><p id="par0045" class="elsevierStylePara elsevierViewall">Infection&#44; chondritis&#44; and necrosis&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Alternatives</span><p id="par0050" class="elsevierStylePara elsevierViewall">The majority of defects of the concha of the auricle can be left to heal by second intention&#44; with good cosmetic results&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Grafts are not usually a good option for the concha of the auricle due to the high risk of necrosis&#46;</p></span></span>"
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Article information
ISSN: 15782190
Original language: English
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