THE POSTAURICULAR (REVOLVING-DOOR) ISLAND PEDICLE FLAP REVISITED

BACKGROUND. Few satisfactory closure options exist for large anterior auricular defects. OBJECTIVE. TO describe the use of the postauricular (revolving door) island pedicle flap for closure of large defects on the scapha, antihelix, and helix. METHODS. Mohs micrographic surgery f or excision of basal cell carcinoma was performed on the anterior auri cular surface of two patients. Both defects were closed using a poster ior auricular island flap that teas advanced through cartilage with ex cellent cosmetic results. Other closure options are discussed for this region. CONCLUSION. The postauricular (revolving door) island pedicle flap is a good closure option for large anterior auricular defects la cking perichondrium and not easily repaired by other methods.