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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Epub ahead of print

doi: https://doi.org/10.3342/kjorl-hns.2025.00612    [Epub ahead of print]
Retroauricular Revolving Door Island Flap for Auricular Basal Cell Carcinoma
Won Uk Lee1 , Jeong Gum Lee2 , In Seok Moon2
1Yonsei University College of Medicine, Seoul, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Yonsei University College of Medicine, Seoul, Korea
이개 기저세포암에서 후이개 회전문 섬피판술을 이용한 재건
이원욱1 , 이정금2 , 문인석2
1연세대학교 의과대학
2연세대학교 의과대학 이비인후과학교실
Correspondence  In Seok Moon ,Tel: +82-2-2228-3626, Fax: +82-2-393-0580, Email: ismoonmd@yuhs.ac
Received: 29 December 2025; Revised: January 19, 2026   Accepted: 23 January 2026.  Published online: 13 April 2026.
ABSTRACT
Auricular reconstruction, particularly of the conchal bowl, remains a significant surgical challenge because of the region’s complex anatomy and high aesthetic and functional demands. We report cases of basal cell carcinoma involving the conchal bowl and the external auditory canal (EAC) that were successfully reconstructed using the single-stage retroauricular revolving door island flap (RDIF) technique. In these patients, the flaps demonstrated complete viability without major complications such as necrosis, infection, or canal stenosis. The reconstructed auricles preserved their natural contour with excellent cosmetic outcomes, and functional results were satisfactory. These cases highlight the RDIF technique as a reliable, versatile, and effective option for the reconstruction of moderate-sized conchal and EAC defects, providing excellent aesthetic and functional outcomes in a single stage.
Keywords: Auricle Basal cell carcinoma Conchal bowl Reconstruction Retroauricular revolving door island flap
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