Abstract

GUTIERREZ GOMEZ, C.; AVILA ROMAY, A.; ZEPEDA ALCANTARA, C.  and  CARDENAS MEJIA, A.. Experience in auricle reconstruction after skin carcinoma with "quesadilla" flap. Cir. plást. iberolatinoam. [online]. 2008, vol.34, n.2, pp.101-106. ISSN 1989-2055.

Auricle reconstruction is one of the most difficult techniques because of the sophisticated and delicates forms of the ear. When we need to remove the auricular skin, preserving the cartilage is very important to keep the shape of the auricle. If treating an auricular skin cancer we find an unaffected cartilage, we can use a skin grafting, but in such delicates forms and curves many times it results inappropriate or the lack of pericondrium difficult skin graft integration. When pericondrium is affected, we will need a skin flap to cover de defect. We designed a rich vascularized flap that preserves the unaffected cartilage with an adequate coverage and that keeps 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, we use an asymmetric z-plasty to return the rolled skin of the helix to the margin of the auricle. We report, from a serie of 13 patients with auricle carcinoma, 2 cases reconstructed with this technique.

Keywords : Auricle reconstruction; Skin cancer; Fasciocutaneous flap.

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