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Lookup NU author(s): Dr Daniel Lin
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© JLO (1984) Limited, 2018. BackgroundMiddle-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.MethodThis 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.ResultsTwo examples of this technique used in post-trauma and oncological reconstruction cases are presented, with pre- and post-operative photographs provided for demonstration.ConclusionContralateral 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.
Author(s): Lin DJ, Lewis CJ, Alrawi M
Publication type: Article
Publication status: Published
Journal: Journal of Laryngology and Otology
Print publication date: 01/11/2018
Online publication date: 22/10/2018
Acceptance date: 27/05/2018
ISSN (print): 0022-2151
ISSN (electronic): 1748-5460
Publisher: Cambridge University Press
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