Closure of Defects in the Auricular Region

If an inferiorly or superiorly based transposition flap or rotation flap is not adequate, other options include a large inferiorly based rotation flap (Fig. 10.33), bilobed flaps (similar to Fig. 10.28; Weerda 1978 a-c), or a bilobed flap (Fig. 10.34; see also Fig. 10.18). The second lobe of the bilobed flap is taken from the neck

Auricular Region

Fig. 10.34a, b Large defect in the auricular region repaired with a bilobed flap (Weerda 1978). The primary lobe is cut behind the defect, and the secondary lobe is outlined in the neck (across the nuchal hairline). The pivot point for this large rotation flap is located in the angle of the mandible.

Nuchal Hairline

Fig. 10.34a, b Large defect in the auricular region repaired with a bilobed flap (Weerda 1978). The primary lobe is cut behind the defect, and the secondary lobe is outlined in the neck (across the nuchal hairline). The pivot point for this large rotation flap is located in the angle of the mandible.

(Weerda 1994). If these flaps are inadequate, myocu- flaps (see Fig. 14.1) can be used to repair large defects taneous island flaps (see Figs. 12.1 and 12.2) or free in this region.

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