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Stomatologija 2022; 24 (3): 85-8 267 KB

Bardach’s triple-legged rotation flap as single-staged 3D helical upper-third reconstruction: A technical note

Annette Wunsch¹, Andreas Neff², Jean-Paul Meningaud³, Keskanya Subbalekha⁴, Nattapong Sirintawat⁵, Poramate Pitak-Arnnop²

Summary

Background. Reconstruction of the helical upper-third is often technically demanding, especially when the defect is huge and the ear is severely deformed. The aim of this short communication was to present an alternative technique to rebuild this difficult task, using a modification of the Bardach’s three-legged rotation flap for scalp closure.

Methods. To achieve the flap design, we raised the retro- and supraauricular tissue with the Dieffenbach’s postauricular advancement fl ap. The Gillies’ V-Y advancement fl ap helped to develop the preauricular fl ap, and the Mustardé’s otoplastik technique was used to reduce the gap between the resected ear cartilage and the temple.

Conclusion. This flap technique appears simple and quick; thereby, it can be used as a single-staged reconstruction alternative in aging patients with multiple comorbidities.

Key words: Bardach’s rotation flap, ear reconstruction, Dieffenbach’s advancement flap, Gillies’ V-Y advancement flap, Mustardé’s otoplasty.

Received: 27 02 2021

Accepted for publishing: 26 09 2022

¹Division of Oral and Maxillofacial Surgery, Department of Otolaryngology – Head and Neck Surgery, Klinikum Mutterhaus der Borromäerinnen Mitte, Faculty of Medicine Campus Trier, Johannes Gutenberg University of Mainz, Trier, Germany

²Department of Oral and Maxillofacial Surgery, University Hospital of Giessen and Marburg, Campus Marburg, UKGM GmbH, Faculty of Medicine, Philipps University of Marburg, Marburg, Germany

³Department of Plastic, Reconstructive, Aesthetic and Maxillofacial Surgery, Henri Mondor University Hospital, AP-HP, Faculty of Medicine, University Paris-Est Créteil Val de Marne (Paris XII), Créteil, France

⁴Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand

⁵Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand

Address correspondence to Poramate Pitak-Arnnop, Klinik für MKG-Chirurgie, Universitätsklinikum Marburg, UKGM, Baldingerstr., 35043 Marburg, Germany.

E-mail address: poramate.pitakarnnop@gmail.com



	Baltic Dental and Maxillofacial Journal

2022, Vol. 24, No. 3 CONTENTS REVIEW Management of bisphosphonate-related osteonecrosis of the jaw using teriparatide treatment: A systematic review Abdulla Varoneckas, Rokas Gelažius, Vykintas Pliavga, Marijus Leketas, Ričardas Kubilius, Mariam Varoneckaitė 63-70 SCIENTIFIC ARTICLES Short-term postoperative changes in temporomandibular joints and masticatory muscles of Angle class II patients after mandibular advancement surgery: Clinical findings Heleia Nestal Zibo, Aleksei Baburin, Tiia Tamme, Ülle Voog-Oras 71-79 Photobiomodulation laser therapy in pemphigus vulgaris oral lesions: A randomized, double-blind, controlled study Francesca Amadori, Elena Bardellini, Federica Veneri, Alessandra Majorana 80-84 CASE REPORT Bardach’s triple-legged rotation flap as single-staged 3D helical upper-third reconstruction: A technical note Annette Wunsch, Andreas Neff, Jean-Paul Meningaud, Keskanya Subbalekha, Nattapong Sirintawat, Poramate Pitak-Arnnop 85-88 © 2023 Stomatologija		Stomatologija 2022; 24 (3): 85-8 267 KB Bardach’s triple-legged rotation flap as single-staged 3D helical upper-third reconstruction: A technical note Annette Wunsch¹, Andreas Neff², Jean-Paul Meningaud³, Keskanya Subbalekha⁴, Nattapong Sirintawat⁵, Poramate Pitak-Arnnop² Summary Background. Reconstruction of the helical upper-third is often technically demanding, especially when the defect is huge and the ear is severely deformed. The aim of this short communication was to present an alternative technique to rebuild this difficult task, using a modification of the Bardach’s three-legged rotation flap for scalp closure. Methods. To achieve the flap design, we raised the retro- and supraauricular tissue with the Dieffenbach’s postauricular advancement fl ap. The Gillies’ V-Y advancement fl ap helped to develop the preauricular fl ap, and the Mustardé’s otoplastik technique was used to reduce the gap between the resected ear cartilage and the temple. Conclusion. This flap technique appears simple and quick; thereby, it can be used as a single-staged reconstruction alternative in aging patients with multiple comorbidities. Key words: Bardach’s rotation flap, ear reconstruction, Dieffenbach’s advancement flap, Gillies’ V-Y advancement flap, Mustardé’s otoplasty. Received: 27 02 2021 Accepted for publishing: 26 09 2022 ¹Division of Oral and Maxillofacial Surgery, Department of Otolaryngology – Head and Neck Surgery, Klinikum Mutterhaus der Borromäerinnen Mitte, Faculty of Medicine Campus Trier, Johannes Gutenberg University of Mainz, Trier, Germany ²Department of Oral and Maxillofacial Surgery, University Hospital of Giessen and Marburg, Campus Marburg, UKGM GmbH, Faculty of Medicine, Philipps University of Marburg, Marburg, Germany ³Department of Plastic, Reconstructive, Aesthetic and Maxillofacial Surgery, Henri Mondor University Hospital, AP-HP, Faculty of Medicine, University Paris-Est Créteil Val de Marne (Paris XII), Créteil, France ⁴Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand ⁵Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand Address correspondence to Poramate Pitak-Arnnop, Klinik für MKG-Chirurgie, Universitätsklinikum Marburg, UKGM, Baldingerstr., 35043 Marburg, Germany. E-mail address: poramate.pitakarnnop@gmail.com