Doppel helikale Felgenvorschubklappen mit Kahnblattresektion
Tezel Techniken Doppel helikale Felgenvorschubklappen mit Kahnblattresektion Doppel helikale Felgenvorschubklappen mit Kahnblattresektion Doppel helikale Felgenvorschubklappen mit Kahnblattresektion Abstract Background Auricular surgery is a challenging subject in plastic surgery due to the complica
Methods The amount of full-thickness resection at the helical rim is planned according to the desired reduction or extent of tumor. After helical excision, an incision that transects all the layers of the ear is carried out along the helical sulcus inferiorly and superiorly to yield two advancement flaps. Using scissors, a crescent from the scapha is excised through the full thickness of the ear.
The flaps are approximated and sutured to the scapha by means of stitches that pass through skin and cartilage. Results The described technique has been performed successfully since 1998. It has been used for 12 cases of macrotia, 28 cases of tumor surgery, and 7 cases of ear reduction for asymmetric ears.
No major complications have been encountered. Three cases are reported as examples of the procedure. Conclusions Double helical rim advancement flaps with scaphal resection represent a versatile and safe technique that can be used for ear reduction, helical rim reconstruction, and correction for discrepancy in size of ears.
Keywords Macrotia ! Double helical rim advancement flaps ! Ear reduction !
Helical rim reconstruction ! Ear reconstruction Artikel anzeigen Prof. Dr.
Erdem TEZEL / Mitgliedschaften
Dieser Artikel beschreibt von Prof. Dr. Erdem Tezel in die Literatur eingebrachte operative Techniken.