Full thickness advancement flap to reconstruct large helical rim
Authors
Abstract:
Introduction: Auricular reconstruction of partial ear defects is usually challenging, especially in extended resections or traumas. Helical rim is the most noticeable part of ear with aesthetic significance, which demands detailed procedures. Helical rim advancement is a known procedure to reshape lacerated rim. In the original technique, a chondrocutaneous flap is raised in order to preserve the posterior skin and consequently, the blood supply. Case Report: Due to auricle’s rich blood supply, we selected an inferiorly based flap of helical rim, which we incised completely, even the posterior skin, in order to advance the flap more freely to the cephalic side and relaxed cephalically. In five patients with helix tumors, this reconstructive procedure was done without threatening the blood supply and flap ischemia. Moreover, posterior skin traction or subsequent deformity, as one of concerns of reconstructive surgeons, were also eradicated. Conclusion: It appears that this modification can be noteworthy in auricular reconstruction.
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GUIDELINES Viewpoints, pertaining to issues of general interest, are welcome, even if they are not related to items previously published. Viewpoints may present unique techniques , brief technology updates , technical notes, and so on. Viewpoints will be published on a space-available basis because they are typically less time-sensitive than Letters and other types of articles. Please note the ...
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Journal title
volume 12 issue 1
pages 53- 56
publication date 2021-05
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