Antia-buch procedure (chondrocutaneous advancement flap)

Husain T. AlQattan, Seth Thaller

Research output: Chapter in Book/Report/Conference proceedingChapter


Auricular defects continued to be a formidable challenge to reconstructive surgeons. Records detailing repair options stretched back to a millennium before Christ. This was followed by countless attempts with disappointing results. Twentieth century witnessed a surge in advances in reconstructive ear surgery. This paved the way for modern auricular reconstruction. Importance of the ear lies in its essential role in providing balance and symmetry to the face. What may seem a small defect in the auricle can distort the detailed anatomy and the appearance of symmetry. In the modern era, a variety of techniques have been illustrated to reconstruct auricular defects. This chapter will describe the chondrocutaneous advancement flap for full thickness helical rim defects up to 3 cm in size. The double helical advancement approach is based on perforating branches of the posterior auricular artery in the caudal flap, and the upper auricular branches of the superficial temporal artery supply the cephalic flap. This single stage procedure delivers reproducibly excellent aesthetic outcomes. Its main disadvantage is a mild loss in ear height. Indications, preoperative markings, intraoperative steps, postoperative care, possible complications, and a template of an operative dictation are included.

Original languageEnglish (US)
Title of host publicationOperative Dictations in Plastic and Reconstructive Surgery
PublisherSpringer International Publishing
Number of pages2
ISBN (Electronic)9783319406312
ISBN (Print)9783319406299
StatePublished - Jan 1 2016


  • Antia-Buch
  • Chondrocutaneous advancement flap
  • Dermatology
  • Ear reconstruction
  • Ear trauma
  • Facial plastic surgery
  • MOHs chemoresection
  • Neoplasm
  • Otolaryngology
  • Skin cancer

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'Antia-buch procedure (chondrocutaneous advancement flap)'. Together they form a unique fingerprint.

Cite this