Case Reports
Vol. 16 No. 1 (2024)
Reconstruction of retroauricolar surgical defect using the “jigsaw puzzle” advancement flap
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 17 October 2023
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We present the case of a 55-year-old male patient who came to our attention because of a basal cell carcinoma of the right retroauricolar area, near the mastoid-auricle border. The tumor had a size of about 1.5 cm. Repairing retroauricolar surgical defects may be actually very challenging, firstly because an incorrect reconstruction may result in severe deformities which are extremely hard to conceal; so, we decided to employ the “jigsaw puzzle” advancement flap, a versatile flap, firstly successfully used in the reconstruction of a nasal ala defect.
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Citations
Goldberg LH, Kimyai-Asadi A, Silapunt S "Jigsaw puzzle" advancement flap for repair of a surgical defect involving the lateral nasal ala. Dermatol Surg. 2005 May;31(5):569-71 DOI: https://doi.org/10.1097/00042728-200505000-00014
Paradisi A, Sonego G, Ricci F, Abeni D. Reconstruction of a Lateral Upper Lip Defect. Dermatol Surg 2016; 0:1–4
R. Prud’homme, M. Lacombe, S. Delauménie, et al. Une technique originale de réparation d’une double perte de substance de l’hémilèvre supérieure blanche. Ann Dermatol Venereol. 2020 Oct;147(10):658-61 DOI: https://doi.org/10.1016/j.annder.2020.04.009
Dong J, Verne S, Herbst J.Use of the "Jigsaw Puzzle" Advancement Flap for Repair of Auricular Defects. Dermatol Surg. 2022 Mar 1;48(3):364-5 DOI: https://doi.org/10.1097/DSS.0000000000003305
Alkalay R, Alcalay J. The “jigsaw puzzle” advancement flap for reconstruction of a retroauricular surgical defect. J Drugs Dermatol 2013;12:115–6
S. D’Arpa, A. Cordova, F. Moschella. Further application of the bilobed flap: the split bilobed flap for reconstruction of composite posterior auricular and mastoid defects. J Plast Reconstr Aesthet Surg. 2006;59(12):1330-5 DOI: https://doi.org/10.1016/j.bjps.2006.06.022
How to Cite
1.
Curzio M, Macchini V, Di Lella G, Massaro A, Sonego G. Reconstruction of retroauricolar surgical defect using the “jigsaw puzzle” advancement flap. Dermatol Reports [Internet]. 2023 Oct. 17 [cited 2026 Apr. 18];16(1). Available from: https://journals.pagepress.net/dr/article/view/9724
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