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Purushottam Kumar
Sadaf Siddique
Meraj Ahmed
Vidyapati Choudhary


revolving door flap, postauricular, tissue reconstruction, flap harvest


Despite being extensively elucidated in the literature, the employment of the revolving door flap is not prevalent within the broader scope of general plastic surgery. This flap method has primarily found application in addressing anterior auricular and conchal defects, lauded for its distinctive design and the intricacies of its harvest approach. Nonetheless, its limited application for highly specific cases and the intricacy of its harvest technique, which might be challenging to apprehend, contribute to its relatively low popularity within the realm of reconstructive procedures. In this research an attempt has been made to assess and comprehend progression associated with RD flap by evaluating studies performed and procedures optimized previously. The study aims to underscore the flap's effectiveness and refined nature in addressing ear defects, reiterating its value in the field of reconstruction.

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1. Masson JK. A simple island flap for reconstruction of concha-helix defects. British journal of plastic surgery. 1972 Jan 1;25:399-403.
2. Franco-Muñoz M, Romero-Aguilera G, Flores-Terry M, Ruíz LG, Vence MR, Caminero MS, García-Arpa M. Reconstructing ear defects using the revolving door Island flap: A case series. Actas Dermo-Sifiliográficas (English Edition). 2020 Sep 1;111(7):590-9.
3. Papadopoulos ON, Karypidis DK, Chrisostomidis CI, Konofaos PP, Frangoulis MB. One‐stage reconstruction of the antihelix and concha using postauricular island flap. Clinical and experimental dermatology. 2008 Sep 1;33(5):647-50.
4. Nambi GI, Varanambigai TA. Clinical study of the lateral supramalleolar flap in the soft tissue reconstruction around the ankle region. Indian Journal of Plastic Surgery. 2020 Mar 4;53(01):083-9.
5. Zhu J, Zhao H, Wu K, Lv C, Sun MY, Wang YC, Xing X, Xue CY. Reconstruction of auricular conchal defects with local flaps. Medicine. 2016 Nov;95(46).
6. Johnson TM, Fader DJ. The staged retroauricular to auricular direct pedicle (interpolation) flap for helical ear reconstruction. Journal of the American Academy of Dermatology. 1997 Dec 1;37(6):975-8.
7. Stoner Jr JG, Stoner Sr JG, Ermolovich T. Cartilage hinge flap for the repair of antihelical defects. Dermatologic surgery. 2010 Oct 1;36(10):1592-5.
8. Wang SQ, Goldberg LH, Asadi AK. Surgical conundrum: transcartilage island pedicle flap for a scapha defect. Dermatologic surgery. 2009 Mar 1;35(3):505-8.
9. Humphreys TR, Goldberg LH, Wiemer DR. The postauricular (revolving door) island pedicle flap revisited. Dermatologic surgery. 1996 Feb;22(2):148-50.
10. Talmi YP, Horowitz Z, Bedrin L, Kronenberg J. Technique of auricular reconstruction with a postauricular island flap “flip-flop flap”. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2000 Dec 1;11(4):313-7.
11. Nemir S, Hunter-Ellul L, Codrea V, Wagner R. Reconstruction of a large anterior ear defect after mohs micrographic surgery with a cartilage graft and postauricular revolving door flap. Case Reports in Dermatological Medicine. 2015 Sep 3;2015.
12. Ruiz M, Garcia O, Hernán I, Sancho J, Serracanta J, Barret JP. Revolving-door flap: an alternative for the coverage of acute burn defects of the auricle. Burns. 2011 Sep 1;37(6):e41-3.
13. Oh MJ, Kang SJ, Sun H. A simple modified flip-flop flap for the reconstruction of antihelix and triangular fossa defects. Arch Plast Surg 2016;43(1):122–124