The 'double headed slug flap': a simple technique to reconstruct large helical rim defects

Area of Science:

• Otolaryngology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Reconstructing partial ear defects presents challenges in balancing anatomical detail with surgical outcomes.
• Common causes include human bites, tumor excisions, and burn injuries.
• Existing methods like tube pedicled flaps require precise defect measurement, risking errors.

Observation:

• Accurate measurement of ear defects is critical for successful reconstruction.
• Underestimation or overestimation of defect size can lead to suboptimal tissue usage and outcomes.
• A novel two-stage technique utilizing post auricular transposition flaps is proposed.

Findings:

• The presented two-stage technique allows for flexibility in estimating defect size.
• This method permits accurate tissue utilization, accommodating potential measurement errors.
• The approach yields favorable aesthetic outcomes in ear defect reconstruction.

Implications:

• This technique simplifies the reconstruction of partial ear defects.
• It offers a reliable method for achieving good aesthetic results with reduced surgical complexity.
• The approach provides a valuable alternative for managing ear defects from various etiologies.