Süperior Pediküllü Retroauriküler Flep ile Kulak Sayvanı Defektlerinin Onarımı

Giriş: Kulak sayvanı yüzün estetik görünümünde büyük bir öneme sahip olduğundan ve kendine özgü anatomisi nedeniyle, defektlerinin onarımını zorluklar içerir. Bu makalede kulak sayvanında görülen deri tümörlerinin çıkartılması sonrasında oluşan defektlerinin onarımında kullanılan superior tabanlı retroauriküler flep tekniği sunularak tartışılacaktır. Gereç ve Yöntem: Bu seri Ağustos 2015 ile Şubat 2018 arasında, kulak sayvanı ön yüzde tümör eksizyonu sonrası oluşan defektleri superior tabanlı retroauriküler flep ile onarılan ardışık vakalardan oluşturuldu. Hastaların yaşları, tümör tanıları ve defekt çapları kaydedildi. Bulgular: Retroauriküler flep ile 8 hastanın kulak sayvanındaki defekt onarıldı. Hastaların yaş ortalaması 71 olup 56 ile 82 arasındaydı. Ortalama takip süresi ortalama 16 ay olup 12 ile 19 ay arasında değişiyordu. Hastalarda flep kaybı veya yara izi sorunu gözlenmedi. Hiçbir hastada tümör nüksü olmadı. Tüm hastalarda kozmetik olarak kabul edilebilir sonuç elde edildi. Sonuç: Superior pediküllü retroauriküler flep ile defekt onarımı kulak sayvanının pozisyonunu, şeklini ve boyutunu olumsuz etkilememektedir. Flebin çevre doku ile renk ve doku uyumu iyidir. Flep donör sahasında yara izleri kulak arkasında kaldığı için kolayca gizlenmiştir. Superior pediküllü retroauriküler flep ile kulak sayvanı defekti onarımı güvenle kullanılabilecek bir yöntemdir.

Superior Pedicled Retroauricular Flap for Auricle Defect Repair

Introduction: Since the auricle is of great importance in the aesthetic appearance of the face and due to its specific anatomy, it contains difficulties in the repair of its defects. In this article, we present and discuss the superior-based retroauricular flap technique used in the repair of the auricle defects secondary to the skin tumor excision. Material and Method: This series was composed of consecutive patients with auricle skin tumor excision defects repaired with superior-based retroauricular flap between August 2015 and February 2018. The ages, tumor diagnoses and defect diameters of the patients were recorded. Results: The auricle defects were repaired by retrouricular flap in 8 patients. The mean age of the patients was 71 and ranged from 56 to 82 years. The mean follow-up period was 16 months and ranged between 12 and 19 months. No flap loss or scarring problems were observed in the patients. None of the patients had tumor recurrence. Cosmetically acceptable results were obtained in all patients. Conclusion: The position, shape and size of the auricle are not adversely affected by defect repair with superior pedicled retroauricular flap. The skin color, texture, and thickness of the flap matches well with the surrounding tissue and fits well into the overall contour. The scars in the flap donor area are easily hidden behind the ear. Superior pedicled retroauricular flap can be used safely to repair auricle defects.

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