A novel method of auricular reconstruction.

Area of Science:

• Otolaryngology
• Plastic Surgery
• Oncology

Background:

• Neoplasms of the auricular helix often require surgical excision.
• Defects larger than 1.5 cm typically exceed the limits for simple wedge excision and primary closure.
• Complex reconstructions are needed for significant helical defects to achieve favorable cosmetic results.

Purpose of the Study:

• To describe a single-stage surgical technique for auricular helix reconstruction.
• To evaluate the efficacy and aesthetic outcomes of this novel technique for large helical defects.

Main Methods:

• Composite excision of auricular helix neoplasms in 7 male patients (8 ears).
• A modified technique involving incisions at the helix root and lobule advancement for chondrocutaneous mobilization.
• Specific maneuvers to avoid cupping deformity, notching, and preserve the auriculocephalic sulcus.

Main Results:

• The described technique allowed for tension-free closure of defects ranging from 2.5 to 4.5 cm.
• Favorable aesthetic outcomes were observed in 5 of 7 patients after over 1 year of follow-up.
• The method successfully addressed challenges like cupping and notching.

Conclusions:

• This single-stage technique offers a viable alternative for reconstructing auricular helix defects after neoplasm excision.
• The described surgical modifications contribute to improved aesthetic results and functional preservation.
• The technique is effective for defects exceeding conventional limits for primary closure.