Single-stage helical rim reconstruction using a post-auricular bipedicled flap.

Area of Science:

• Plastic Surgery
• Otolaryngology
• Reconstructive Surgery

Background:

• Middle-third helical rim defects present significant reconstructive challenges, often resulting from trauma or oncological resection.
• Traditional methods for defects larger than 2 cm necessitate staged procedures, increasing patient inconvenience.

Observation:

• A novel single-stage helical rim reconstruction technique is described, utilizing a post-auricular bipedicled flap and an ipsilateral conchal cartilage graft.
• The technique was applied to two cases: one post-trauma and one post-oncological resection.

Findings:

• The single-stage technique was well-tolerated by patients.
• Satisfactory aesthetic outcomes were achieved, demonstrating good size and symmetry in the reconstructed helical rims.

Implications:

• This single-stage approach eliminates the need for contralateral graft harvest and staged operations, reducing donor site morbidity and patient inconvenience.
• The described technique provides an effective and efficient option for middle-third helical rim reconstruction with favorable aesthetic results.