Retroauricular Tubed Skin Flap to The Helical Rim
D. N. STEFFANOFF
The retroauricular tubed skin flap has proved an excellent choice for reconstruction of the auricle because of its color and texture match, rich blood supply, and proximity to the deformity (see also Chapter 86).
Problems of auricular reconstruction involve restoring cartilaginous support, supplying soft-tissue coverage of similar color and texture, and positioning the auricle at the proper angle to the side of the head (1, 2, 3, 4, 5). The retroauricular tubed skin flap allows the surgeon to meet all these requirements for a satisfactory cosmetic reconstruction of a partially mutilated auricle (6).
The retroauricular skin and subcutaneous tissue are supplied by the postauricular artery, which is a branch of the external carotid artery. The anterior and lateral auricular skin is supplied by branches of the temporal artery.