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Single-Stage Transposition Flap for Auricular Reconstruction After Mohs

Burgos-Blasco P, de Perosanz-Lobo D, Rios-Buceta L, et al.
Dermatologic Surgery (2023)

JC: September 2025

This study described a single-stage transposition flap technique for auricular reconstruction after Mohs surgery. The approach eliminated the need for a second-stage procedure while providing reliable soft tissue coverage and good cosmetic outcomes for ear defects.

Take-Home Messages

  • Single-stage transposition flaps offer an efficient one-visit reconstruction option for appropriate auricular defects after Mohs surgery.
  • Eliminating the need for a second-stage procedure improves patient convenience and reduces healthcare resource utilization.

Topic

Reconstruction

Flaps, grafts, wound closure techniques after Mohs

Abstract

The external ear is a crucial part of the ear's anatomy for both functional and aesthetic purposes. We present a defect after the extirpation of an invasive squamous cell carcinoma, where the final defect involved the superior third of the outer ear, missing both cartilage and skin. The regional chondrocutaneous composite transposition flap of the ipsilateral auricular concha is a one-stage technique that successfully preserves the helical rim's shape and size.

Literature review only. This summary is an editorial interpretation and may not reflect the complete findings of the original publication. Always refer to the full-text article for clinical decision-making.