Nasal Tip Reconstruction of the Nose With Composite Ear-Helix Free Flap

More than just the helix: A series of free flaps from the ear

“…Consequently, the survival of composite grafts diminishes as the graft size increases and is often limited to a maximum of 1 cm graft size (Lehman, Garrett, & Musgrave, ). The use of free helical flaps has thus gained in popularity and has been increasingly reported in the literature (Bakhach, et al, ; Dabernig et al, ; Li et al, ; Oh et al, ; Ozek et al, ; Parkhouse & Evans, ; Pribaz & Falco, ; Shenaq et al, ; Shimizu et al, ; Tanaka et al, ; Zhang et al, ). To date, our series of free auricular flaps ( n = 13) is the second largest reported.…”

“…The first free helical flap was described over 30 years ago by Parkhouse and Evans (Parkhouse & Evans, ) and later popularised by Pribaz and Falco (Pribaz & Falco, ). Since then its use has increasingly been described in the literature (Dabernig, Ampomah, & Watson, ; Li et al, ; Oh, Jeon, & Koh, ; Ozek, Gundogan, Bilkay, Alper, & Cagdas, ; Ozek, Gurler, Uckan, & Bilkay, ; Shenaq, Dinh, & Spira, ; Shimizu, Oatari, & Uehara, ; Tanaka, Tajima, Tsujiguchi, Fukae, & Ohmiya, ; Zhang et al, ). The attributes of the ascending helix in providing remarkably similar tissue anatomically and aesthetically to the nasal‐alar region are well recognised.…”

Reconstruction of Defects Involving the Nasal Ala and the Nasolabial Fold: The Role of the Microvascular Prehelical Rim Graft

“…In 2004, Michlits et al [4] and later Dabernig et al [5] used the crus of the helix for the reconstruction of the ala and tip. In 2008, the latter could show that the crus has an ideal form for the nasal ala.…”