Gutiérrez GC, Ávila RA

Language: Spanish
References: 17
Page: 108-111
PDF size: 258.69 Kb.

ABSTRACT

Auricular reconstruction is one of the most difficult ones because of their sophisticated and delicates forms. When you have to remove the skin, preserving the cartilage is very important for maintaining the shape of the ear. When treating skin cancer you may have an unaffected cartilage, but skin grafting in such delicates forms and curves result inappropriate or the lack of pericondrium difficult skin graft integration. Regarding to this troubles we designed a rich vascularized flap that preserves the unaffected cartilage with an adequate coverage and that preserves anatomy of the auricle. For coverage of anterior cartilage we use the hole posterior skin fasciocutaneous flap which resembles a “quesadilla”, a Mexican food made of white cheese (resembles cartilage) covered by a “tortilla” (fasciocutaneous flap). This flap includes the rolled skin of the helix and in a second time you return with an asymmetric zetaplasty the rolled skin of the helix to the margin of the auricle. We report a case of a 68 years old male with basocellular carcinoma ,who required resection of the upper skin of the anterior auricle and was reconstructed with this flap.

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