{"title":"Repair of a Large Full-Thickness Conchal Bowl Defect.","authors":"Devon L Barrett, Jordan S Lim, Travis W Blalock","doi":"10.12788/cutis.1208","DOIUrl":null,"url":null,"abstract":"<p><p>Large full-thickness conchal bowl defects pose a unique reconstructive challenge, particularly in patients who prioritize single-stage surgical solutions. While options such as wedge excisions, composite grafts, and interpolation flaps have been utilized, each has limitations for large defects in which structural integrity and cosmetic outcome are paramount. We present a case of a 77-year-old man with a 2.0×3.6-cm full-thickness defect of the right conchal bowl following Mohs micrographic surgery for cutaneous squamous cell carcinoma. Reconstruction was achieved using a single-stage, full-thickness hinge flap with a Burow graft. Our case highlights the utility of hinge flaps as a reliable and cosmetically favorable single-stage alternative for large conchal bowl defects.</p>","PeriodicalId":11195,"journal":{"name":"Cutis","volume":"115 5","pages":"157-158"},"PeriodicalIF":2.1000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cutis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12788/cutis.1208","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Large full-thickness conchal bowl defects pose a unique reconstructive challenge, particularly in patients who prioritize single-stage surgical solutions. While options such as wedge excisions, composite grafts, and interpolation flaps have been utilized, each has limitations for large defects in which structural integrity and cosmetic outcome are paramount. We present a case of a 77-year-old man with a 2.0×3.6-cm full-thickness defect of the right conchal bowl following Mohs micrographic surgery for cutaneous squamous cell carcinoma. Reconstruction was achieved using a single-stage, full-thickness hinge flap with a Burow graft. Our case highlights the utility of hinge flaps as a reliable and cosmetically favorable single-stage alternative for large conchal bowl defects.
期刊介绍：
Published since 1965, Cutis is a peer-reviewed clinical journal for the dermatologist, allergist, and general practitioner. The journal is published monthly and focuses on concise clinical articles that present the practical side of dermatology. Referenced in Index Medicus/MEDLINE, it is respected and enjoyed by both specialists and derm-active generalists, enabling its readers to get what they need quickly and efficiently. Furthermore, Cutis is read by more physicians actively involved in the day-to-day treatment of dermatologic conditions than any other dermatology publication. Covering a broad range of pertinent and timely topics, Cutis is written and edited by industry leaders. For information on article submissions, please see our Information for Authors.
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