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Updated: Jul 20, 2025

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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
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Management of helical adhesion malformation
Claire Sin-Hidge1, Neil W Bulstrode1
1Department of Plastic Surgery, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, United Kingdom.
Summary
This study presents a simpler surgical technique for helical adhesion malformation, a rare congenital ear anomaly. The new method effectively corrects the condition, resulting in a hidden scar on the back of the ear.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Congenital Malformations
Background:
- Congenital auricular anomalies are prevalent, yet specific conditions like helical adhesion malformation are underrepresented in English literature.
- Helical adhesion malformation involves the abnormal adherence of the ear's helix to the scapha, impacting ear aesthetics.
Observation:
- A novel surgical approach for helical adhesion malformation was developed and applied.
- The technique was successfully demonstrated in an 11-year-old girl with bilateral malformations.
Findings:
- The described surgical method is simpler than existing techniques.
- It yields satisfactory ear shape with an inconspicuous scar located on the posterior aspect of the ear.
- Meticulous dissection and wide exposure of the helix are critical for successful correction.
Implications:
- This technique offers a more straightforward and aesthetically advantageous solution for helical adhesion malformation.
- The posterior auricular incision ensures the scar's visibility is minimized.
- This approach could improve surgical outcomes and patient satisfaction for this specific congenital ear defect.

