A novel method of auricular reconstruction.

Abstract:

:Seven male patients and 8 total ears underwent composite excision for neoplasm of the auricular helix. Defect size ranged from 2.5 to 4.5 cm exceeding the conventional limit of l.5 cm for wedge excision with primary closure. An incision at the root of the helix released the superior auricular muscle and a portion of the strong supporting anterior auricular tendon. An inferior incision allowed for the advancement of the lobule. The combined release permitted chondrocutaneous mobilization and closure without tension. The cupping deformity was avoided by trimming the concha in a wedge excision. Notching was eliminated with a step cut and close approximation on closure. The superior auriculocephalic sulcus was preserved by altering the fulcrum point of rotation.Ears were reconstructed with favorable esthetic outcome with over 1 year of follow-up in 5 of 7 patients. This technique represents an alternative method of single stage reconstruction of the auricular helix.

journal_name

Ann Plast Surg

authors

McRae MC,Au A,Narayan D

doi

10.1097/SAP.0b013e3181a395fb

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

554-5

issue

5

eissn

0148-7043

issn

1536-3708

pii

00000637-200905000-00022

journal_volume

62

pub_type

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