Abstract
Fillet flaps are commonly used to cover skin defects after trauma or tumors, especially in the extremities [1-5].
Highlights
Fillet flaps are commonly used to cover skin defects after trauma or tumors, especially in the extremities [1-5]
Histology gave the confirmation of the diagnosis and indications on the radicality in the operated patients
Composed of healthy tissue which otherwise would have been discarded in the resection
Summary
We report four patients operated in the last three years, for lesions of the ear, invading the post auricular skin and infiltrating into the scalp. On examination these ulcerating lesions had the clinical appearance of deeply infiltrating basal cell carcinoma. After resection was performed with 1 cm skin margins, down and including the temporal fascia, the clear anterior skin surface of the upper pole of the ear was freed by its internal cartilaginous skeleton. The obtained fillet flap of the homolateral upper ear pole was raised and reflected posteriorly to cover the wound completely or partially. A split skin graft was added to the reconstruction
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