Lashin, R., Elshahat, A. (2018). Reconstruction of Small to Moderate Size Peri-Auricular Skin Defects Using Hatchet Flaps. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 7-13. doi: 10.21608/ejprs.2018.214970
Riham Lashin; Ahmed Elshahat. "Reconstruction of Small to Moderate Size Peri-Auricular Skin Defects Using Hatchet Flaps". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 7-13. doi: 10.21608/ejprs.2018.214970
Lashin, R., Elshahat, A. (2018). 'Reconstruction of Small to Moderate Size Peri-Auricular Skin Defects Using Hatchet Flaps', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 7-13. doi: 10.21608/ejprs.2018.214970
Lashin, R., Elshahat, A. Reconstruction of Small to Moderate Size Peri-Auricular Skin Defects Using Hatchet Flaps. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 7-13. doi: 10.21608/ejprs.2018.214970
Reconstruction of Small to Moderate Size Peri-Auricular Skin Defects Using Hatchet Flaps
The Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abstract
Background: Peri-auricular region is a special anatomical area including the sideburn area anteriorly, hair superiorly, the non-hairy post-auricular sulcus posteriorly, and the mandibular angle and neck inferiorly. Reconstruction of defects affecting this area should consider all these structures so that hairy area has to be reconstructed with hairy flaps and the non-hairy area has to be reconstructed with non-hairy flaps. Local flaps in the form of hatchet type flap provide this reconstruction aim. The Hatchet flap is a well-known flap < br />used to cover round defects with primary closure of the donor sites in a V–Y fashion. Methods: Hatchet flaps have been used in reconstruction of defects in variable anatomical sites as published by the senior author and proved to be a reliable flap providing stable coverage of the defect by a skin flap from the adjacent area and thus having similar color, texture, and sensation to the lost skin. Aim of Work: To describe how to utilize the hatchet flap < br />for reconstruction of small to moderate size peri-auricular skin defects in order to provide satisfactory coverage, with the best aesthetic outcome, inconspicuous scars in both the donor and recipient areas, with the least possible complications. Nine cases were presented in this study. Results: Results were good, all defects were successfully covered. The flaps survived completely, the likeness of hair color and density in the sideburn area was achieved, and the scars at the donor site were hidden in the post-auricular hairline, post-auricular sulcus were maintained and not obliterated by the flap in any of these cases. All patients were shown a satisfactory appearance, with no complications both on the recipient and donor sites. Conclusion: Hatchet flaps are a versatile and reliable technique for reconstruction of small to moderate size periauricular skin defects which provides a stable coverage of the defect, with safe vascularity of flaps, and provide an excellent cosmetic outcome.
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