Pearls for perfecting the mastoid interpolation flap

Hilda Justiniano, Daniel B Eisen

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Helical rim ear defects can present a reconstructive challenge to the Mohs surgeon. Multiple options exist including wedge excision, helical rim advancement flaps, bilobed flap, and grafts, to name a few. Wedge excision of the ear may result in a noticeable anteverted, smaller ear, and disrupts auricular cartilage with the possibility of chondritis and excess pain. Helical rim advancements can result in anteversion of the ear and a smaller lobule. Mastoid interpolation flaps, which are also called retroauricular to auricular flaps, can be a useful alternative in patients who are willing to return for a second procedure. They are easy to perform and can result in a highly aesthetic reconstruction in which the ear size and form are maintained. The donor skin comes from an area that is hidden from view and heals with minimal complications. We present our suggestions for performing these reconstructions. Ways to optimize results, potential pitfalls, and postoperative care instructions are discussed. Step by step videos are included with this manuscript.

Original languageEnglish (US)
Article number2
JournalDermatology Online Journal
Volume15
Issue number6
StatePublished - Jun 2009

Fingerprint

Mastoid
Ear
Ear Cartilage
Postoperative Care
Esthetics
Names
Tissue Donors
Transplants
Pain
Skin

ASJC Scopus subject areas

  • Dermatology

Cite this

Pearls for perfecting the mastoid interpolation flap. / Justiniano, Hilda; Eisen, Daniel B.

In: Dermatology Online Journal, Vol. 15, No. 6, 2, 06.2009.

Research output: Contribution to journalArticle

@article{d9fa9cb3eeb04ae99a08efdb580a16f2,
title = "Pearls for perfecting the mastoid interpolation flap",
abstract = "Helical rim ear defects can present a reconstructive challenge to the Mohs surgeon. Multiple options exist including wedge excision, helical rim advancement flaps, bilobed flap, and grafts, to name a few. Wedge excision of the ear may result in a noticeable anteverted, smaller ear, and disrupts auricular cartilage with the possibility of chondritis and excess pain. Helical rim advancements can result in anteversion of the ear and a smaller lobule. Mastoid interpolation flaps, which are also called retroauricular to auricular flaps, can be a useful alternative in patients who are willing to return for a second procedure. They are easy to perform and can result in a highly aesthetic reconstruction in which the ear size and form are maintained. The donor skin comes from an area that is hidden from view and heals with minimal complications. We present our suggestions for performing these reconstructions. Ways to optimize results, potential pitfalls, and postoperative care instructions are discussed. Step by step videos are included with this manuscript.",
author = "Hilda Justiniano and Eisen, {Daniel B}",
year = "2009",
month = "6",
language = "English (US)",
volume = "15",
journal = "Dermatology Online Journal",
issn = "1087-2108",
publisher = "Department of Dermatology UC Davis",
number = "6",

}

TY - JOUR

T1 - Pearls for perfecting the mastoid interpolation flap

AU - Justiniano, Hilda

AU - Eisen, Daniel B

PY - 2009/6

Y1 - 2009/6

N2 - Helical rim ear defects can present a reconstructive challenge to the Mohs surgeon. Multiple options exist including wedge excision, helical rim advancement flaps, bilobed flap, and grafts, to name a few. Wedge excision of the ear may result in a noticeable anteverted, smaller ear, and disrupts auricular cartilage with the possibility of chondritis and excess pain. Helical rim advancements can result in anteversion of the ear and a smaller lobule. Mastoid interpolation flaps, which are also called retroauricular to auricular flaps, can be a useful alternative in patients who are willing to return for a second procedure. They are easy to perform and can result in a highly aesthetic reconstruction in which the ear size and form are maintained. The donor skin comes from an area that is hidden from view and heals with minimal complications. We present our suggestions for performing these reconstructions. Ways to optimize results, potential pitfalls, and postoperative care instructions are discussed. Step by step videos are included with this manuscript.

AB - Helical rim ear defects can present a reconstructive challenge to the Mohs surgeon. Multiple options exist including wedge excision, helical rim advancement flaps, bilobed flap, and grafts, to name a few. Wedge excision of the ear may result in a noticeable anteverted, smaller ear, and disrupts auricular cartilage with the possibility of chondritis and excess pain. Helical rim advancements can result in anteversion of the ear and a smaller lobule. Mastoid interpolation flaps, which are also called retroauricular to auricular flaps, can be a useful alternative in patients who are willing to return for a second procedure. They are easy to perform and can result in a highly aesthetic reconstruction in which the ear size and form are maintained. The donor skin comes from an area that is hidden from view and heals with minimal complications. We present our suggestions for performing these reconstructions. Ways to optimize results, potential pitfalls, and postoperative care instructions are discussed. Step by step videos are included with this manuscript.

UR - http://www.scopus.com/inward/record.url?scp=67650508197&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67650508197&partnerID=8YFLogxK

M3 - Article

C2 - 19723476

AN - SCOPUS:67650508197

VL - 15

JO - Dermatology Online Journal

JF - Dermatology Online Journal

SN - 1087-2108

IS - 6

M1 - 2

ER -