TY - JOUR T1 - Reconstructing ear defects using the revolving door Island flap: A case series JO - Actas Dermo-Sifiliográficas T2 - AU - Franco-Muñoz,M AU - Romero-Aguilera,G AU - Flores-Terry,M AU - González Ruíz,L AU - Rogel Vence,M AU - Sánchez Caminero,MP AU - García-Arpa,M SN - 15782190 M3 - 10.1016/j.adengl.2020.08.003 DO - 10.1016/j.adengl.2020.08.003 UR - https://www.actasdermo.org/es-reconstructing-ear-defects-using-revolving-articulo-S157821902030202X AB - Background and objectivesDefects of the anterior region of the pinna pose a reconstruction challenge owing to the complex topography and difficult access. We report our experience using the revolving door island flap (RDIF) to reconstruct pinna defects and present the surgical results. Material and methodsRetrospective descriptive study of patients undergoing ear reconstruction using RDIF at different sites of the anterior region after resection of malignant tumors. ResultsSeventeen patients underwent surgery between 2011 and 2019 for squamous cell carcinoma (n = 7) and basal cell carcinoma (n = 10). Conventional histology showed disease-free surgical margins in all the resected tissue specimens. The mean follow-up period was 40 months. One local recurrence of squamous cell carcinoma was observed, which responded well to radiation therapy; all patients were free of disease at the end of follow-up. Only 3 patients presented minor complications (depression of the flap surface in 1 case and retraction of the ear toward the mastoid process in 2 cases). Subjective rating scales were used to evaluate cosmetic and functional outcomes as assessed by both the dermatologist and the patient. The normal contour of the pinna was conserved in all patients and no patients required additional corrective surgery. ConclusionsReconstruction of the pinna using RDIF allowed for satisfactory repair following complete resection of the tumors, while conserving structure and functionality. RDIF has been reported to be a very good option for reconstruction of the pinna. It is a simple technique that makes it possible to repair large defects with minimal risk of necrosis. In our series, the cosmetic results were excellent and recurrence rates were very low. RDIF provided optimal results in repairing lesions in the concha and in other regions, such as the antihelix, triangular fossa, and scapha. ER -