Colgajo de Antia-Buch para reconstrucción de defectos del borde helicial.descripción de un caso

  1. Carmen SALOM-COVEÑAS
  2. Matilde HARO-GARCÍA
  3. Eulalia PORRAS ALONSO
Journal:
Revista ORL

ISSN: 2444-7986,  2444-7986

Year of publication: 2019

Volume: 10

Volume: 4

Pages: 307-310

Type: Article

DOI: 10.14201/ORL.20333 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista ORL

Abstract

Introduction and objective: The Antia-Buch flap is a procedure in which two chondrocutaneous flaps are used to reconstruct the helicial region of the auricular pinna. The laxity of the tissue is conferred, to a large extent, by the inferior flap and the chondrocutaneous resection of the scafa is required for closure. This results in the loss of the height of the ear. Our objective is to perform the exeresis of a medium-sized lesion without compromising the morphology of the auricular pinna. Description: We performed an Antia-Buch flap reconstruction in a patient with spinocellular carcinoma of the right helix. Results: Squamous cell carcinoma with free margins was removed obtaining a good aesthetic result of the auricular pinna. Discussion: The Antia-Buch flap is used for medium size defects of the helicial region. Among the different surgical steps, highlight the V-Y discharges to avoid tension in the tissues and conserve the perichondrium of the flap for chondral nutrition. Conclusions: Technique in which good aesthetic results are obtained, without compromising the radicality of the excision.

Bibliographic References

  • 1. Tay S, Nikkah D, Teo T. The Antia-Buch flap revisited. Clin.Otolaryngol.2016, 42, 951-3.
  • 2. Morán K, Cabrera A, Cardona M, Medina A, Alcalá D, Torres S, et al. Técnicas de reconstrucción básicas del pabellón auricular por padecimiento dermatooncológico. Dermatol Rev Mex. 2015;59:310-6.
  • 3. Chung S, Feintisch A, Lee E. Helical RIm Reconstruction: Antia-Buch Flap. Eplasty. 2015; 15:ic55.
  • 4. Joshi R, Sclafani AP. The Antia-Buch chondrocutaneous advancement flap for auricular reconstruction. Ear Nose Throat J. 2016; 95(6):216-7.
  • 5. Antia NH, Buch VI. Chondrocutaneous advancement flap for the marginal defect. Plast Reconstr Surg. 1967;39(5):472-7.
  • 6. Dreiman BB. Chondrodermatitis nodularis chronica helicis treated with Antia-Buch reconstruction: review and case report. J Oral Maxillofac Surg. 2007 Jul;65(7):1378-82.
Data source: Dialnet