Retroauricular Revolving Door Island Flap for Auricular Basal Cell Carcinoma

Auricular reconstruction, particularly of the conchal bowl, remains a significant surgical challenge because of the region's complex anatomy and high aesthetic and functional demands.We report cases of basal cell carcinoma involving the conchal bowl and the external auditory canal (EAC) that were successfully reconstructed using the single-stage retroauricular revolving door island flap (RDIF) technique.In these patients, the flaps demonstrated complete viability without major complications such as necrosis, infection, or canal stenosis.The reconstructed auricles preserved their natural contour with excellent cosmetic outcomes, and functional results were satisfactory.These cases highlight the RDIF technique as a reliable, versatile, and effective option for the reconstruction of moderate-sized conchal and EAC defects, providing excellent aesthetic and functional outcomes in a single stage.