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[Reconstruction of segmental ear helix defect with post-auricular skin flap]
Shen-song Kang1, Dong-yi Zhang, Hong-jian Liu
1Department of Plastic Surgery, Henan Provincial People's Hospital, Zhengzhou 450003, China. ssk999999@163.com
Objective:
To explore the method of repairing segmental ear helix defect.
Methods:
Twenty-one patients with segmental ear helix defect were repaired with post-auricular skin flap. In the first stage operation, ear helix defect was assessed, including the anterior and posterior area defect. According to the defect, post-auricular skin flap was designed and transplanted to repair the defect. Six weeks later, the pedicle of the post-auricular skin flap was cut off, elevated, and folded to form the helix. The secondary defect was directly sutured or repaired with skin graft.
Results:
Twenty-one patients were treated with this method. In two to 12 months follow-up, all flaps survived and reconstructed ear helices were in good shape. The reconstructed ears were in symmetry to the healthy ones.
Conclusion:
The method is safe and effective for the correction of segmental ear helix defect.