Utility of a bilayered banner transposition flap in reconstruction of the lower third of the pinna

BACKGROUND. Reconstruction of the entire ear lobule is challenging and comp lex. We present a case in which a banner transposition flap from the preaur icular and mandibular area of the cheek resulted in an excellent cosmetic o utcome. OBJECTIVE. To demonstrate the utility of a bilayered banner transposition f lap to reconstruct a full-thickness defect of the inferior one-third of the pinna. METHODS. The technique employed in this reconstruction is described and pre viously reported techniques are reviewed. RESULTS. A symmetrical earlobe with normal tissue consistency was created, as noted at 4 months postoperatively. CONCLUSION. Utilization of a banner transposition flap should be considered as an excellent method for reconstruction of full-thickness defects of the lower one-third of the ear.