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Helical Rim Advancement Flap with an Additional Postauricular Skin Flap: A Case Report

Journal of Audiology & Otology 2019년 23권 4호 p.210 ~ 213
김승호 ( Kim Seung-Ho ) - Inje University College of Medicine Sanggye Paik Hospital Department of Otorhinolaryngology-Head and Neck Surgery

 ( Choi Jeong-Hwan ) - Inje University College of Medicine Sanggye Paik Hospital Department of Otorhinolaryngology-Head and Neck Surgery

Abstract


The auricle is a three-dimensional cartilaginous frame covered with thin overlying skin. Due to its complex features, reconstructing helical rim defects after the excision of an auricular mass is challenging. Shortage of subcutaneous tissue and the presence of a tightly bound epithelium further hamper the primary closure of lateral (anterior) auricular skin defects. We present herein a case in which we used a helical rim advancement flap along with an additional postauricular skin flap. We achieved a satisfactory esthetic result with minimal loss of helical diameter and a low risk of flap necrosis by preserving the vascular network of the flap. This technique is less traumatic and will facilitate faster healing as well as improved patient recovery.

키워드

External ear; Ear auricle; Squamous cell carcinoma
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