Abstract
BackgroundAuricular concha has been widely used as a supporting material in rhinoplasty or repairing of auricular defects. However, complications, trauma or iatrogenic excision often result in concha defects which destroy the normal structure of the external ear and further influence daily life. Local flaps are often applied to repair the defects because of their safety and satisfactory functional and aesthetic results.Case presentationWe report a 24-year-old female who presented with a concha defect that resulted from a complication of concha cartilage graft for rhinoplasty. The anterior concha defect was covered by a revolving-door (RD) flap as a single-stage procedure. The aesthetic and functional outcomes were satisfactory at 6 months post operation.ConclusionWe recommend the RD flap as an excellent choice for conchal defect reconstruction. Satisfactory aesthetic and functional results can be achieved by this easy-to-learn technique in relatively short surgical time.
Highlights
Auricular concha has been widely used as a supporting material in rhinoplasty or repairing of auricular defects
The concha contains a considerable amount of cartilage, which has been commonly used as a supporting material in rhinoplasty or the repair of local auricular defects [1,2,3]
We use a revolving-door (RD) flap to cover a concha defect that resulted from a complication of concha cartilage graft for rhinoplasty
Summary
Auricular concha has been widely used as a supporting material in rhinoplasty or repairing of auricular defects. Conclusion: We recommend the RD flap as an excellent choice for conchal defect reconstruction. The concha contains a considerable amount of cartilage, which has been commonly used as a supporting material in rhinoplasty or the repair of local auricular defects [1,2,3]. The scar at the donor site almost invisible, and there is no obvious influence on the whole structure of the auricle following concha cartilage graft harvesting.
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