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Refinement of single-stage delayed helical rim reconstruction with a post-auricular bipedicle flap and cartilage graft
Published online by Cambridge University Press: 18 July 2025
Abstract
Objectives
To introduce refinements to the original single-stage technique published in 2018, described for delayed reconstruction of partial subtotal defect of the helical rim and antihelix.
Methods
Cases performed by the senior author (MA) were included, with important tips introduced to refine and standardise the technique to improve outcomes. These refinements extend the use of the technique to the reconstruction of larger defects than previously described, the use of contralateral conchal cartilage and carved rib cartilage graft, and the use of quilting sutures with the dental bolsters to support the post-auricular sulcus.
Results
The refinements used contralateral conchal cartilage grafts for defects up to 4 cm and autologous rib cartilage graft for defects more than 4 cm.
Conclusion
This versatile and reliable technique should be considered the standard technique for patients presenting with delayed helical rim defects. It produces satisfactory aesthetic results in terms of size and shape.
Keywords
Information
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- Copyright
- © The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.
Footnotes
Mogdad Alrawi takes responsibility for the integrity of the content of the paper
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