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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Russo de la Torre" "autores" => array:1 [ 0 => array:3 [ "nombre" => "F." "apellidos" => "Russo de la Torre" "email" => array:1 [ 0 => "russo@aedv.es" ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Hospital Punta de Europa, Algeciras, Cádiz, Spain" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Colgajo retroauricular en isla en puerta giratoria" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 567 "Ancho" => 750 "Tamanyo" => 58365 ] ] ] ] "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, first described by Masson in 1972,<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. It is harvested from the retroauricular area and is raised as an island (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) so that it can rotate like a hinge on its pedicle and pass through the defect in the auricle (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The flap is then sutured to cover the defect of the concha (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>), and the retroauricular area is closed by simple suture (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>).</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, included with the electronic version of this article, available at <a href="http://www.elsevier.es/ad">http://www.elsevier.es/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, particularly for lesions that require excision of the underlying cartilage.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The larger the defect of the concha, the better the results obtained, because it is possible to use a larger pedicle.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</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.</p><p id="par0030" class="elsevierStylePara elsevierViewall">It cannot be used if the cartilage beneath the primary defect is still present.</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.<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, but it does require a degree of experience and time.<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, chondritis, and necrosis.</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, with good cosmetic results.</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.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:8 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Description" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Technique" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Indication" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Contraindications" ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Benefits" ] 5 => array:2 [ "identificador" => "sec0030" "titulo" => "Risks" ] 6 => array:2 [ "identificador" => "sec0035" "titulo" => "Alternatives" ] 7 => array:1 [ "titulo" => "Bibliografía" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Russo de la Torre F. Colgajo retroauricular en isla en puerta giratoria. Actas Dermosifiliogr.2012;103:737-738.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0065" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0045" ] ] ] ] "multimedia" => array:5 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 565 "Ancho" => 750 "Tamanyo" => 54681 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 565 "Ancho" => 750 "Tamanyo" => 56667 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 569 "Ancho" => 750 "Tamanyo" => 57378 ] ] ] 3 => array:6 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 567 "Ancho" => 750 "Tamanyo" => 58365 ] ] ] 4 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mpg" "ficheroTamanyo" => 68392996 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:2 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A simple island flap for reconstruction of concha-helix defects" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.K. Masson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Br J Plast Surg" "fecha" => "1972" "volumen" => "25" "paginaInicial" => "399" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4567027" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Aggressive tumors of the concha: treatment with postauricular island pedicle flap" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Redondo" 1 => "P. Lloret" 2 => "A. Sierra" 3 => "P. Gil" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Cutan Med Surg" "fecha" => "2003" "volumen" => "7" "paginaInicial" => "339" "paginaFinal" => "343" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14738102" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reconstruction of anterior auricular conchal defect after malignancy excision: revolving-door flap versus full-thickness skin graft" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L.A. Dessy" 1 => "A. Figus" 2 => "P. Fioramonti" 3 => "M. Mazzocchi" 4 => "N. Scuderi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.bjps.2009.01.073" "Revista" => array:6 [ "tituloSerie" => "J Plast Reconstr Aesthet Surg" "fecha" => "2010" "volumen" => "63" "paginaInicial" => "746" "paginaFinal" => "752" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19357009" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anatomy of the postauricular island revolving door flap (flip-flop flap)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "Y.P. Talmi" 1 => "P. Liokumovitch" 2 => "M. Wolf" 3 => "Z. Horowitz" 4 => "J. Kopolovitch" 5 => "J. Kronenberg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Plast Surg" "fecha" => "1997" "volumen" => "39" "paginaInicial" => "603" "paginaFinal" => "607" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9418919" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The postauricular (revolving door) island pedicle flap revisited" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T.R. Humphreys" 1 => "L.H. Goldberg" 2 => "D.R. Wiemer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Dermatol Surg" "fecha" => "1996" "volumen" => "22" "paginaInicial" => "148" "paginaFinal" => "150" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8608376" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010300000008/v1_201304241323/S1578219012002661/v1_201304241323/en/main.assets" "Apartado" => array:4 [ "identificador" => "6209" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Videos of Surgical Procedures in Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010300000008/v1_201304241323/S1578219012002661/v1_201304241323/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012002661?idApp=UINPBA000044" ]
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| 2022 Diciembre | 78 | 79 | 157 |
| 2022 Noviembre | 26 | 47 | 73 |
| 2022 Octubre | 26 | 40 | 66 |
| 2022 Septiembre | 31 | 64 | 95 |
| 2022 Agosto | 33 | 47 | 80 |
| 2022 Julio | 28 | 42 | 70 |
| 2022 Junio | 38 | 40 | 78 |
| 2022 Mayo | 66 | 59 | 125 |
| 2022 Abril | 91 | 81 | 172 |
| 2022 Marzo | 133 | 85 | 218 |
| 2022 Febrero | 110 | 55 | 165 |
| 2022 Enero | 127 | 64 | 191 |
| 2021 Diciembre | 114 | 61 | 175 |
| 2021 Noviembre | 108 | 78 | 186 |
| 2021 Octubre | 100 | 76 | 176 |
| 2021 Septiembre | 62 | 72 | 134 |
| 2021 Agosto | 79 | 58 | 137 |
| 2021 Julio | 56 | 63 | 119 |
| 2021 Junio | 57 | 57 | 114 |
| 2021 Mayo | 94 | 64 | 158 |
| 2021 Abril | 162 | 126 | 288 |
| 2021 Marzo | 81 | 54 | 135 |
| 2021 Febrero | 80 | 52 | 132 |
| 2021 Enero | 51 | 42 | 93 |
| 2020 Diciembre | 35 | 31 | 66 |
| 2020 Noviembre | 46 | 36 | 82 |
| 2020 Octubre | 52 | 32 | 84 |
| 2020 Septiembre | 47 | 22 | 69 |
| 2020 Agosto | 35 | 41 | 76 |
| 2020 Julio | 37 | 37 | 74 |
| 2020 Junio | 54 | 56 | 110 |
| 2020 Mayo | 36 | 38 | 74 |
| 2020 Abril | 42 | 39 | 81 |
| 2020 Marzo | 41 | 37 | 78 |
| 2020 Febrero | 4 | 39 | 43 |
| 2020 Enero | 0 | 16 | 16 |
| 2019 Diciembre | 4 | 26 | 30 |
| 2019 Noviembre | 0 | 23 | 23 |
| 2019 Octubre | 0 | 18 | 18 |
| 2019 Septiembre | 4 | 26 | 30 |
| 2019 Agosto | 0 | 14 | 14 |
| 2019 Julio | 0 | 24 | 24 |
| 2019 Junio | 15 | 68 | 83 |
| 2019 Mayo | 0 | 162 | 162 |
| 2019 Abril | 0 | 179 | 179 |
| 2019 Marzo | 3 | 62 | 65 |
| 2019 Febrero | 1 | 20 | 21 |
| 2019 Enero | 2 | 7 | 9 |
| 2018 Diciembre | 5 | 2 | 7 |
| 2018 Noviembre | 6 | 0 | 6 |
| 2018 Octubre | 5 | 0 | 5 |
| 2018 Septiembre | 10 | 14 | 24 |
| 2018 Agosto | 0 | 14 | 14 |
| 2018 Julio | 0 | 9 | 9 |
| 2018 Junio | 0 | 13 | 13 |
| 2018 Mayo | 0 | 19 | 19 |
| 2018 Abril | 0 | 12 | 12 |
| 2018 Marzo | 0 | 13 | 13 |
| 2018 Febrero | 40 | 13 | 53 |
| 2018 Enero | 63 | 18 | 81 |
| 2017 Diciembre | 60 | 12 | 72 |
| 2017 Noviembre | 50 | 18 | 68 |
| 2017 Octubre | 66 | 45 | 111 |
| 2017 Septiembre | 47 | 24 | 71 |
| 2017 Agosto | 73 | 40 | 113 |
| 2017 Julio | 70 | 47 | 117 |
| 2017 Junio | 90 | 41 | 131 |
| 2017 Mayo | 86 | 47 | 133 |
| 2017 Abril | 89 | 47 | 136 |
| 2017 Marzo | 59 | 64 | 123 |
| 2017 Febrero | 55 | 71 | 126 |
| 2017 Enero | 48 | 45 | 93 |
| 2016 Diciembre | 58 | 27 | 85 |
| 2016 Noviembre | 84 | 49 | 133 |
| 2016 Octubre | 102 | 67 | 169 |
| 2016 Septiembre | 79 | 47 | 126 |
| 2016 Agosto | 90 | 44 | 134 |
| 2016 Julio | 65 | 35 | 100 |
| 2016 Junio | 11 | 33 | 44 |
| 2016 Mayo | 11 | 31 | 42 |
| 2016 Abril | 4 | 28 | 32 |
| 2016 Marzo | 4 | 22 | 26 |
| 2016 Febrero | 8 | 18 | 26 |
| 2016 Enero | 9 | 25 | 34 |
| 2015 Diciembre | 9 | 3 | 12 |
| 2015 Noviembre | 20 | 1 | 21 |
| 2015 Octubre | 27 | 13 | 40 |
| 2015 Septiembre | 14 | 1 | 15 |
| 2015 Agosto | 12 | 5 | 17 |
| 2015 Julio | 67 | 25 | 92 |
| 2015 Junio | 58 | 26 | 84 |
| 2015 Mayo | 87 | 31 | 118 |
| 2015 Abril | 84 | 25 | 109 |
| 2015 Marzo | 67 | 16 | 83 |
| 2015 Febrero | 73 | 21 | 94 |
| 2015 Enero | 78 | 25 | 103 |
| 2014 Diciembre | 69 | 31 | 100 |
| 2014 Noviembre | 74 | 21 | 95 |
| 2014 Octubre | 98 | 34 | 132 |
| 2014 Septiembre | 25 | 11 | 36 |
| 2014 Agosto | 31 | 13 | 44 |
| 2014 Julio | 30 | 11 | 41 |
| 2014 Junio | 33 | 8 | 41 |
| 2014 Mayo | 37 | 11 | 48 |
| 2014 Abril | 30 | 2 | 32 |
| 2014 Marzo | 44 | 16 | 60 |
| 2014 Febrero | 24 | 24 | 48 |
| 2014 Enero | 40 | 21 | 61 |
| 2013 Diciembre | 32 | 11 | 43 |
| 2013 Noviembre | 31 | 18 | 49 |
| 2013 Octubre | 18 | 10 | 28 |
| 2013 Septiembre | 29 | 31 | 60 |
| 2013 Agosto | 16 | 38 | 54 |
| 2013 Julio | 11 | 25 | 36 |
| 2013 Junio | 12 | 29 | 41 |
| 2013 Mayo | 14 | 22 | 36 |
| 2013 Abril | 15 | 24 | 39 |
| 2013 Marzo | 27 | 27 | 54 |
| 2013 Febrero | 34 | 3 | 37 |
| 2013 Enero | 42 | 8 | 50 |
| 2012 Diciembre | 37 | 7 | 44 |
| 2012 Noviembre | 3 | 4 | 7 |
| 2012 Octubre | 0 | 2 | 2 |
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