Auricular reconstruction with a postauricular myocutaneous island flap: Flip-flop flap

Yoav P. Talmi*, Zeev Horowitz, Lev Bedrin, Jona Kronenberg

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Surgical defects of the concha-helix part of the ear larger than 2 cm may pose a reconstructive challenge. Split- or full-thickness skin grafts or local flaps may be used, and a number of these have been described. Yet cosmetic results are often unsatisfactory. Our experience with a postauricular myocutaneous island flap is described. Eleven patients (12 ears), aged 48 to 89 years, underwent the procedure under local anesthesia following excision of conchal bowl malignant tumors that included the cartilage underlying the skin. The surgical technique is described in detail. Few complications were encountered, and cosmetic results were excellent. In four ears, resection margins extended into the ear canal, and that portion was allowed to heal satisfactorily by secondary intention. We recommend the use of this flap for practical, safe, and early good cosmetic results.

Original languageEnglish
Pages (from-to)1191-1199
Number of pages9
JournalPlastic and Reconstructive Surgery
Issue number7
StatePublished - Dec 1996
Externally publishedYes


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