{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T04:49:47Z","timestamp":1788929387910,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,4,1]],"date-time":"2017-04-01T00:00:00Z","timestamp":1491004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>We herein present our experience using free flaps harvested from the ear region in facial, nasal and intraoral reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Between 2011 and 2016, 19 patients underwent reconstruction using 20 free flaps from the ear region based on the superficial temporal vessels. There were 10 males and 9 females with a mean age of 57 years. Defect aetiology consisted of post\u2010tumour ablation (<jats:italic>n<\/jats:italic>\u2009=\u200915), trauma (<jats:italic>n<\/jats:italic>\u2009=\u20092) and burn scar (<jats:italic>n<\/jats:italic>\u2009=\u20092). Defect location involved the nose (<jats:italic>n<\/jats:italic>\u2009=\u200913), floor of mouth (<jats:italic>n<\/jats:italic>\u2009=\u20093), tongue (<jats:italic>n<\/jats:italic>\u2009=\u20091), lower eyelid (<jats:italic>n<\/jats:italic>\u2009=\u20091), and lower lip (<jats:italic>n<\/jats:italic>\u2009=\u20091).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve helical, seven temporal artery posterior auricular skin (TAPAS), and one hemiauricular flap were performed. One patient required venous re\u2010anastomosis but complete flap necrosis eventually occurred. This patient later underwent successful contralateral helix flap reconstruction. Overall flap survival was 95%. Follow\u2010up ranged from 12 to 69 months. A moderate to excellent aesthetic and functional outcome was achieved in all cases, but most (13\/19) required later minor refinement surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As a versatile source of free flap options, the ear can provide more than just the helix.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30178","type":"journal-article","created":{"date-parts":[[2017,4,4]],"date-time":"2017-04-04T13:15:26Z","timestamp":1491311726000},"page":"611-620","source":"Crossref","is-referenced-by-count":18,"title":["More than just the helix: A series of free flaps from the ear"],"prefix":"10.1002","volume":"38","author":[{"given":"Patrik","family":"Lassus","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery T\u00f6\u00f6l\u00f6 Hospital, Helsinki University Hospital, University of Helsinki  Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annastiina","family":"Husso","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery T\u00f6\u00f6l\u00f6 Hospital, Helsinki University Hospital, University of Helsinki  Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyrki","family":"Vuola","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery T\u00f6\u00f6l\u00f6 Hospital, Helsinki University Hospital, University of Helsinki  Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1120-8160","authenticated-orcid":false,"given":"Andrew J.","family":"Lindford","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery T\u00f6\u00f6l\u00f6 Hospital, Helsinki University Hospital, University of Helsinki  Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199910000-00007"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1351231"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31817e32ba"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2014.249"},{"key":"e_1_2_6_6_1","article-title":"Free temporal artery posterior auricular skin (TAPAS) flap: A new option in facial and intra\u2010oral reconstruction","volume":"9","author":"Lassus P. 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