The reconstruction of extensive scapha or triangular fossa defects to the ear still represents a
challenge considering the lack of local simple surgical procedures. Objective: To present a new perforator flap which is a
modification of the Elsahy and Ladocsi chondrocutaneous rotation flaps. Patients and Methods: Ten patients, in whom the
oncological resection to the triangular fossa did not include cartilage, but skin and perichondrium. Defects no larger than 3
cm in diameter were treated. The dissection of the flap was carried out from lateral to medial on the anterior subperichondral
plane. The flap was thus raised without the cartilage component but with the anterior perichondrium
branched with the perforating vessels. Results: All flaps survived and treated patients presented good aesthetic results.
We think that this procedure represents a valuable option to be considered in reconstructing well selected
composite defects to upper ear.