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Single-stage helical rim reconstruction using a post-auricular bipedicled flap

Published online by Cambridge University Press:  22 October 2018

D J Lin ,
C J Lewis  and
M Alrawi
D J Lin
Affiliation:
Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
C J Lewis
Affiliation:
Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK
M Alrawi*
Affiliation:
Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK
*
Author for correspondence: Mr Mogdad Alrawi, Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK E-mail: Mogdad.Alrawi@nuth.nhs.uk Fax: 0191 282 4229
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Abstract

Background

Middle-third helical rim defects may arise from trauma or oncological resection, and pose a challenging reconstructive problem. Reconstructing defects larger than 2 cm using traditional methods commits patients to the inconvenience of staged procedures.

Method

This paper describes a single-stage helical rim reconstruction technique using a post-auricular bipedicled flap and ipsilateral conchal cartilage graft for delayed middle-third helical rim reconstruction.

Results

Two examples of this technique used in post-trauma and oncological reconstruction cases are presented, with pre- and post-operative photographs provided for demonstration.

Conclusion

Contralateral graft harvest and staged operations for helical rim reconstruction are associated with donor site morbidity and the inconvenience of multiple operations to achieve the desired reconstructive outcome. Our single-stage helical rim reconstruction technique was well tolerated by patients, and showed satisfactory aesthetic results in terms of size and symmetry.

Keywords

Central Helical Rim DefectPartial Ear ReconstructionSingle-Stage Ear ReconstructionPost-Auricular FlapConchal Cartilage Graft
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 11 , November 2018 , pp. 1022 - 1025
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Mr M Alrawi takes responsibility for the integrity of the content of the paper

References

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