A Step-by-Step Surgical Technique to the Posterior Auricular “Revolving Door” Flap for Conchal Tumor Excision: A Guide for the Surgical and Dermatological Trainee

Skin cancer is the most common malignancy worldwide and the auricle is particularly vulnerable to the effects of cumulative sun exposure. Reconstruction of auricular defects after skin cancer excision remains a vexing surgical challenge owing to the complex three-dimensional- anatomy of the external ear, particularly in the conchal bowl. The postauricular island “revolving door” flap is a reliable single-stage method for reconstructing anterior auricular and conchal defects. While the revolving door flap is well known in the literature, a clear description of how to use the flap to reconstruct an anterior auricular conchal bowl defect is lacking. Herein, we present a step-by-step description of the surgical technique, using surgical photos of a patient who presented with basal cell carcinoma on their anterior auricular concha.