Abstract
A free full-thickness chondrocutaneous flap from the auricular concha for the repair of large tracheal defects was transferred successfully. The flap is based on the superficial temporal vessels (reversed flow) and the posterior auricular vessels. The advantages of this flap for the repair of tracheal defects are (1) its dissection is easy, (2) thin components of the flap provide a wide postoperative airway, (3) the structure of the reconstructed trachea is made firm by the conchal cartilage with vascularization, (4) the highly vascularized cartilage results in less resorption than a free cartilage graft, (5) the donor site can be repaired easily and is concealed by the remnant auricle, and (6) a long arterial pedicle (reversed flow) can be obtained. The disadvantages are (1) there may be temporary postoperative congestion of the flap, (2) postoperative narrowing of the auriculocephalic sulcus may occur, and (3) a short venous pedicle often requires a vein graft.
References
Mar 1, 1976·Plastic and Reconstructive Surgery·T FujinoT Nakajima
Jul 1, 1992·Plastic and Reconstructive Surgery·C ParkH J Buncke
Nov 1, 1989·Plastic and Reconstructive Surgery·C Park
Nov 1, 1987·British Journal of Plastic Surgery·P S Kolhe, A G Leonard
Nov 1, 1987·British Journal of Plastic Surgery·A G Leonard, P S Kolhe
Apr 1, 1987·Plastic and Reconstructive Surgery·S ToriiR Mori
Jul 1, 1985·British Journal of Plastic Surgery·N Parkhouse, D Evans
Aug 1, 1972·Plastic and Reconstructive Surgery·H Washio
Feb 1, 1969·Plastic and Reconstructive Surgery·H Washio
Nov 1, 1982·Plastic and Reconstructive Surgery·G F Maillard, D Montandon
Aug 1, 1981·Plastic and Reconstructive Surgery·A Renard
Jan 1, 1980·British Journal of Plastic Surgery·M Orticochea
Oct 1, 1954·British Journal of Plastic Surgery·C R McLAUGHLIN
Apr 1, 1965·Plastic and Reconstructive Surgery·R C TANZER
May 1, 1950·Plastic and Reconstructive Surgery·M L LEWIN
Sep 1, 1979·Journal of Microsurgery·M WadaT Terashima
May 1, 1948·Plastic and Reconstructive Surgery·D N STEFFANOFF
Citations
May 16, 2000·Plastic and Reconstructive Surgery·T Maral, H Borman
Sep 8, 2010·Clinics in Plastic Surgery·Isao KoshimaTakuya Iida
Dec 6, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·S KumaranA K Gupta
Jun 28, 2005·Clinics in Plastic Surgery·Ralph W Gilbert, Peter C Neligan
Aug 31, 2018·Microsurgery·Tateki KuboKo Hosokawa
Sep 11, 2003·Annals of Plastic Surgery·Hideo KushimaYoshiro Osada