Maintaining ear aesthetics in helical rim reconstruction

2.50
Hdl Handle:
http://hdl.handle.net/11287/593795
Title:
Maintaining ear aesthetics in helical rim reconstruction
Authors:
Taylor, James M.; Rajan, R.; Dickson, John K.; Mahajan, A. L.
Abstract:
BACKGROUND: Wedge resections of the helical rim may result in a significant deformity of the ear with the ear not only smaller but cupped and prominent too. Our technique involves resection of the wedge in the scaphal area without extending into the concha followed by advancement of the helical rim into the defect. This technique is most suitable for peripheral defects of the helical rim, in the middle third. METHODS: Our modified surgical technique was applied to reconstruction of the pinna after resection of the tumor in 12 patients. Free cartilaginous helical rim, length of helical rim to be resected, and projection of the ear from the mastoid was measured. This was then compared with measurements after the operation, and the patient satisfaction assessed with a visual analog scale. RESULTS: The free cartilaginous rim was 91.67 +/- 5.61 mm. Of this, 21.92 +/- 3.78 mm was resected, which amounted to 23.84% +/- 3.35% of the rim. Although this resulted in a mean increase in ear projection of 6.42 +/- 1.68 mm, the aesthetic outcome was good (visual analog scale, 9.08 +/- 0.9). CONCLUSIONS: This technique reduces cupping and does not make the ear as prominent as it may do after a conventional wedge resection and results in high patient satisfaction.
Citation:
Ann Plast Surg. 2014 Mar;72(3):318-22.
Publisher:
Wolters Kluwer
Journal:
Annals of plastic surgery
Issue Date:
1-Mar-2014
URI:
http://hdl.handle.net/11287/593795
DOI:
10.1097/SAP.0b013e3182610aec
PubMed ID:
23241783
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/23241783
Type:
Case Report
Language:
eng
ISSN:
1536-3708
Appears in Collections:
Plastic & Reconstructive Surgery; 2014 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorTaylor, James M.en
dc.contributor.authorRajan, R.en
dc.contributor.authorDickson, John K.en
dc.contributor.authorMahajan, A. L.en
dc.date.accessioned2016-01-19T12:35:00Zen
dc.date.available2016-01-19T12:35:00Zen
dc.date.issued2014-03-01en
dc.identifier.citationAnn Plast Surg. 2014 Mar;72(3):318-22.en
dc.identifier.issn1536-3708en
dc.identifier.pmid23241783en
dc.identifier.doi10.1097/SAP.0b013e3182610aecen
dc.identifier.urihttp://hdl.handle.net/11287/593795en
dc.description.abstractBACKGROUND: Wedge resections of the helical rim may result in a significant deformity of the ear with the ear not only smaller but cupped and prominent too. Our technique involves resection of the wedge in the scaphal area without extending into the concha followed by advancement of the helical rim into the defect. This technique is most suitable for peripheral defects of the helical rim, in the middle third. METHODS: Our modified surgical technique was applied to reconstruction of the pinna after resection of the tumor in 12 patients. Free cartilaginous helical rim, length of helical rim to be resected, and projection of the ear from the mastoid was measured. This was then compared with measurements after the operation, and the patient satisfaction assessed with a visual analog scale. RESULTS: The free cartilaginous rim was 91.67 +/- 5.61 mm. Of this, 21.92 +/- 3.78 mm was resected, which amounted to 23.84% +/- 3.35% of the rim. Although this resulted in a mean increase in ear projection of 6.42 +/- 1.68 mm, the aesthetic outcome was good (visual analog scale, 9.08 +/- 0.9). CONCLUSIONS: This technique reduces cupping and does not make the ear as prominent as it may do after a conventional wedge resection and results in high patient satisfaction.en
dc.language.isoengen
dc.publisherWolters Kluweren
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/23241783en
dc.titleMaintaining ear aesthetics in helical rim reconstructionen
dc.typeCase Reporten
dc.identifier.journalAnnals of plastic surgeryen
All Items in RD&E Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.