Baltic Dental and Maxillofacial Journal
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2022, Vol. 24, No. 3



Management of bisphosphonate-related osteonecrosis of the jaw using teriparatide treatment: A systematic review
Abdulla Varoneckas, Rokas Gelažius, Vykintas Pliavga, Marijus Leketas, Ričardas Kubilius, Mariam Varoneckaitė


Short-term postoperative changes in temporomandibular joints and masticatory muscles of Angle class II patients after mandibular advancement surgery: Clinical findings
Heleia Nestal Zibo, Aleksei Baburin, Tiia Tamme, Ülle Voog-Oras

Photobiomodulation laser therapy in pemphigus vulgaris oral lesions: A randomized, double-blind, controlled study
Francesca Amadori, Elena Bardellini, Federica Veneri, Alessandra Majorana


Bardach’s triple-legged rotation flap as single-staged 3D helical upper-third reconstruction: A technical note
Annette Wunsch, Andreas Neff, Jean-Paul Meningaud, Keskanya Subbalekha, Nattapong Sirintawat, Poramate Pitak-Arnnop

© 2023 Stomatologija

Stomatologija 2022; 24 (3): 85-8 267 KB

Bardach’s triple-legged rotation flap as single-staged 3D helical upper-third reconstruction: A technical note

Annette Wunsch1, Andreas Neff2, Jean-Paul Meningaud3, Keskanya Subbalekha4, Nattapong Sirintawat5, Poramate Pitak-Arnnop2


Background. Reconstruction of the helical upper-third is often technically demanding, especially when the defect is huge and the ear is severely deformed. The aim of this short communication was to present an alternative technique to rebuild this difficult task, using a modification of the Bardach’s three-legged rotation flap for scalp closure.

Methods. To achieve the flap design, we raised the retro- and supraauricular tissue with the Dieffenbach’s postauricular advancement fl ap. The Gillies’ V-Y advancement fl ap helped to develop the preauricular fl ap, and the Mustardé’s otoplastik technique was used to reduce the gap between the resected ear cartilage and the temple.

Conclusion. This flap technique appears simple and quick; thereby, it can be used as a single-staged reconstruction alternative in aging patients with multiple comorbidities.

Key words: Bardach’s rotation flap, ear reconstruction, Dieffenbach’s advancement flap, Gillies’ V-Y advancement flap, Mustardé’s otoplasty.

Received: 27 02 2021

Accepted for publishing: 26 09 2022

1Division of Oral and Maxillofacial Surgery, Department of Otolaryngology – Head and Neck Surgery, Klinikum Mutterhaus der Borromäerinnen Mitte, Faculty of Medicine Campus Trier, Johannes Gutenberg University of Mainz, Trier, Germany

2Department of Oral and Maxillofacial Surgery, University Hospital of Giessen and Marburg, Campus Marburg, UKGM GmbH, Faculty of Medicine, Philipps University of Marburg, Marburg, Germany

3Department of Plastic, Reconstructive, Aesthetic and Maxillofacial Surgery, Henri Mondor University Hospital, AP-HP, Faculty of Medicine, University Paris-Est Créteil Val de Marne (Paris XII), Créteil, France

4Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand

5Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand

Address correspondence to Poramate Pitak-Arnnop, Klinik für MKG-Chirurgie, Universitätsklinikum Marburg, UKGM, Baldingerstr., 35043 Marburg, Germany.

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