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

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

J Laryngol Otol. 2018 Oct 22;:1-4

Authors: Lin DJ, Lewis CJ, Alrawi M

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.

PMID: 30345936 [PubMed - as supplied by publisher]

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