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

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.

Publication metadata

Author(s): Lin DJ, Lewis CJ, Alrawi M

Publication type: Article

Publication status: Published

Journal: Journal of Laryngology and Otology

Year: 2018

Volume: 132

Issue: 11

Pages: 1022-1025

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


DOI: 10.1017/S0022215118001809


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