Abstract: Objective To explore the clinical efficacy of postauricular revolving door island flap for repairing anterior conchal defect. Methods From April 2009 to January 2014, 7 cases with anterior conchal defects were treated with postauricular revolving door island flap to reestablish the contour of the ear, and the clinical effects were observed during follow-up. Results All the flaps were survived completely with primary healing. The patients were followed up for 3 months to 5 years. The flaps had a good match in skin color and texture, the esthetic results were satisfactory either in recipient or in donor sites. Conclusion The reconstruction of anterior conchal defect using postauricular revolving door island flap is an ideal way to reestablish the contour with good long-term results.

Key words: Postauricular flap, Concha, Defect