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2008 Annual Meeting Abstracts


A Novel Method of Auricular Reconstruction
Matthew C. McRae, BA, Alexander Au, MD, Deepak Narayan, MD, FRCS.
Yale University School of Medicine, New Haven, CT, USA.

Background:
Defects of the auricular helix are often repaired using wedge resection and closure or the Antia-Buch technique. These can lead to characteristic deformities (fig1) in the former and a long anteriorly placed scar in the latter. We describe a novel technique that circumvents these limitations.
Methods:
The technique consists of making a release incision at the root of the helix and the lobule after the resection of the lesion is performed in a lazy S manner with a stair step incision for the border (fig 2).The superior auricular muscle and ligament are detached. A rotation-advancement is performed to close the defect and the auricle is re-attached to the mastoid using a non-absorbable suture.
Results:
The procedure was performed on 7 Caucasian males with an age range of 19-76 years. All but 2 were performed for melanomas of the ear. Defects ranged from 2.5-4 cm. The mean follow up was 1 year with a range of 3-36 months. No complications were noted post operatively and aesthetic results have been excellent (fig 3).
Conclusion:
The novel technique described herein represents a useful addition to the armamentarium of the reconstructive surgeon for single stage repair of defects of the auricular helix.