Year: 2025
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Partial auricle defects from lesion excision or trauma pose reconstruction challenges, often leading to cosmetic issues and psychological distress. OBJECTIVES: To evaluate the effectiveness of single-stage repair of partial auricular defects using periauricular pedicled flaps, and to assess the efficacy and precautions associated with this technique. METHODS: A retrospective analysis of 29 patients (29 ears) with partial auricular defects 27 due to lesion excision and 2 due to trauma was conducted. Patients aged 5 to 75 years (mean age: 40.1), included 12 females and 17 males, with defects involving various auricular areas and sizes from 10 mm × 10 mm to 25 mm × 50 mm. Surgical techniques included local random flaps (12 cases), postauricular revolving door island flaps (8 cases), and a combination (9 cases). Follow-up lasted 6 to 24 months. RESULTS: All defects were successfully closed. Cosmetic outcomes were highly satisfactory, with restored contour and no significant deformities. Most cases healed without complications; two minor issues were resolved with short-term treatment. No major complications such as necrosis or infection occurred. Long-term outcomes were stable, with consistent healing. CONCLUSION: Periauricular pedicled flaps provide an effective singel-stage solution for partial auricular defects, yielding favorable aesthetic outcomes and minimal complications, supporting its clinical adoption.
Source: Acta Oto-Laryngologica
Authors: YuNing Sun, MaoGang Sun, EnDong Zhang, YiHui Zou
Institutions: Qingdao University, Chinese PLA General Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4414229603