Full thickness advancement flap to reconstruct large helical rim
نویسندگان
چکیده مقاله:
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.
منابع مشابه
Helical Rim Reconstruction: Antia-Buch Flap
DESCRIPTION A 67-year-old male patient presented with basal cell carcinoma of the superior helix of the left ear. He underwent Mohs surgery with complete tumor excision resulting in an approximately 2.5 cm open wound with exposed cartilage. The defect was reconstructed with an Antia-Buch chondrocutaneous advancement flap.
متن کاملThe arterial blood supply of the helical rim and the earlobe-based advancement flap (ELBAF): a new strategy for reconstructions of helical rim defects.
BACKGROUND Several techniques are currently available for reconstruction of helical rim defects including Antia and Buch's technique. Some of these techniques produce unsatisfying aesthetic results or are time consuming or technically challenging. Herein, we present the earlobe-based advancement flap (ELBAF) technique and its anatomical basis for reconstruction of helical rim defects. METHODS...
متن کاملReliability of the helical advancement flap for auricular reconstruction.
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 ...
متن کاملReconstruction of a full thickness nasal alar defect following resection of a BCC with a vascularised chondrocutaneous helical rim flap: a case report
Background Nasal reconstruction presents a challenge for plastic surgeons due to the prominent location and complex structure of the nose. When reconstructing full-thickness nasal defects, options to replace the inner lining, cartilaginous framework and outer skin must be considered. The aesthetic units of the nose must also be replaced in full rather than simply filling holes. This report pres...
متن کاملFlap advancement: practical techniques to attain tension-free primary closure.
BACKGROUND Primary and tension-free closure of a flap is often required after particular surgical procedures (e.g., guided bone regeneration). Other times, flap advancement may be desired for situations such as root coverage. METHODS The literature was searched for articles that addressed techniques, limitations, and complications associated with flap advancement. These articles were used as ...
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عنوان ژورنال
دوره 12 شماره 1
صفحات 53- 56
تاریخ انتشار 2021-05
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