Chondrocutaneous helix rim advancement flap: two classical and two new modifications for very large defects of the ear

Valesky, Eva Maria; Kaufmann, R.; Meißner, Markus

doi:10.1111/jdv.12778

Cited by 12 publications

(4 citation statements)

References 10 publications

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“…First, defects located on the helical rim were not included in our series. Wounds in this location need substantial volumetric replacement to restore the auricular contour and symmetry of the anterior facial profile, and they are often repaired with FTSG or advancement flaps . Second, STSG often contract during healing process since wound contraction is inversely proportional to the thickness of the graft .…”

Section: Discussionmentioning

confidence: 99%

“…Wounds in this location need substantial volumetric replacement to restore the auricular contour and symmetry of the anterior facial profile, 1,4 and they are often repaired with FTSG or advancement flaps. 11 Second, STSG often contract during healing process since wound contraction is inversely proportional to the thickness of the graft. 5 However, we did not observe deformities of the ear in the short and long term due to graft contraction because all the reconstructed defects were located on the rigid areas of the ear.…”

Section: Discussionmentioning

confidence: 99%

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Split‐thickness skin grafts obtained from adjacent hairy skin for reconstructing auricular concave surfaces after Mohs surgery

Querol

García‐Martínez

Redondo

2019

Acad Dermatol Venereol

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Background Reconstruction of large auricular defects with full‐thickness skin grafts (FTSG) is a commonly reported option, but less attention has focused on the advantages and indications of using split‐thickness skin grafts (STSG) in the ear. Objective We sought to report our experience using STSG for repair of defects located on the auricular concave surfaces, highlighting the utility of choosing the adjacent hairy skin as donor site. Methods We performed a retrospective review of all Mohs micrographic defects on the auricular concave surfaces repaired with STSG obtained from the adjacent hairy skin, between January 2017 and July 2018 at our institution. Results A total of 16 patients with defects on the auricular concavities resulting from removal of non‐melanoma skin cancer were reconstructed with STSG taken from the adjacent hairy skin. Only one patient experienced partial graft failure and no other complications were observed after 6‐month follow‐up. Conclusion Split‐thickness skin grafts are suitable for reconstructing concave areas in the ear, providing good cosmetic results with a simple, cost‐effective and easily reproducible technique. Choosing the adjacent hairy skin as a donor area shortens the operative and postoperative time, and allows the procedure to be performed in a single surgical field.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Split‐thickness skin grafts obtained from adjacent hairy skin for reconstructing auricular concave surfaces after Mohs surgery

Querol

García‐Martínez

Redondo

2019

Acad Dermatol Venereol

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“…Similar to those described for the superior helical rim, chondrocutaneous advancement flaps have been used for defects up to 20 mm in the middle helical rim [28,29]. Some authors have further developed the technique to allow for repair of defects up to 5 cm by combining with the classical wedge excision [30]. In this region, the unilateral inferiorly based chondrocutaneous flap technique is well suited because of the laxity of the lobule, which can be advanced superiorly (Fig.…”

Section: Middle Helical Rimmentioning

confidence: 99%

Reconstruction of partial auricular skin cancer defects: a review of current techniques

Noor

Thomson

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review To discuss the principles of auricular reconstruction and review recently published literature in the field. Recent findings Auricular reconstruction poses several challenges to the surgeon aiming to restore form and function following skin cancer resection. Various techniques have been described in the literature with many modifications also reported to address their shortcomings. An algorithmic approach based on the location and composition of the defect is recommended. In many instances, more than one technique can be used, and the operating surgeon should be familiar with these to determine the optimal approach for the individual patient. Summary This review highlights the updates in well established techniques as well as modern modifications. Furthermore, a framework for decision-making in auricular reconstruction is presented.

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“…Primero, se realizó una escisión de espesor total en forma de cuña en la porción auricular, seguidamente, la cuña se cierra para aproximar los extremos del borde helicial. Finalmente se realizan los congajos condrocutáneos descritos anteriormente quedando suturado en un mismo tiempo los tejidos sin tensión [14,15].…”

Section: Técnicas De Cierre Directounclassified

Revisión sobre técnicas de reconstrucción del hélix por cáncer de piel

2019

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Conflicto de intereses: Los autores declaran no tener conflictos de intereses Imágenes: Los autores declaran haber obtenido las imágenes con el permiso de los pacientes Política de derechos y autoarchivo: se permite el autoarchivo de la versión post-print (SHERPA/RoMEO) Licencia CC BY-NC-ND. Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional Universidad de Salamanca. Su comercialización está sujeta al permiso del editor RESUMEN: Introducción y objetivo: En este artículo se revisan los resultados de la reconstrucción de los defectos de la superficie del borde helicial después de la extirpación del cáncer de piel. Analizaremos los distintos métodos de reconstrucción y modalidades de tratamiento. Método: Revisión en las base de datos PubMed con estrategia de búsqueda: ((((((helical rim) OR helix)) AND defects) AND reconstruction) AND skin cancer. Se obtuvieron 46 artículos en idioma inglés o español de los que se seleccionaron 19 para el estudio cualitativo. Resultados: Más de la mitad de los pacientes se reconstruyeron mediante cierre directo en un primer tiempo; el resto precisaron de varios tiempos de reconstrucción. Discusión: Hay varios métodos para la reparación quirúrgica de los defectos del borde helicial. Los defectos pequeños del hélix generalmente se pueden cerrar tras resecciones en cuña. Para defectos de mediano tamaño, se pueden usar colgajos de avance condrocutáneos. Los defectos grandes, suelen necesitar un colgajo posterior pediculado o un colgajo fascial temporoparietal con injertos de piel y cartílago. Conclusiones: Esta pequeña revisión resume diversas las opciones de reconstrucción para los defectos que involucran el hélix, facilitando una rápida toma de decisiones para los cirujanos según la naturaleza del defecto.Palabras clave: borde helicial; defectos, reconstrucción; cáncer de piel; pabellón auricular.

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Chondrocutaneous helix rim advancement flap: two classical and two new modifications for very large defects of the ear

Cited by 12 publications

References 10 publications

Split‐thickness skin grafts obtained from adjacent hairy skin for reconstructing auricular concave surfaces after Mohs surgery

Split‐thickness skin grafts obtained from adjacent hairy skin for reconstructing auricular concave surfaces after Mohs surgery

Reconstruction of partial auricular skin cancer defects: a review of current techniques

Revisión sobre técnicas de reconstrucción del hélix por cáncer de piel

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