Reconstruction of acquired auricular defects is one of the most challenging procedures confronting plastic surgeons. These defects are commonly caused by trauma, motor vehicle accidents, sports injury, human fights, and human and animal bites. Less commonly, auricular defects are acquired as the result of thermal injury, with subsequent dry gangrene and autoamputation. The treatment of auricular tumours by Mohs chemosurgery also results in the need for auricular repair. An exceptional rare cause of auricular defect is the method of political punishment that was practiced in Iraq circa 1994, as reported in our case series study.
Since the emergence of the helical advancement technique more than four decades ago, it has proved to be an excellent method of repairing many defects confined to the helical margin with or without scaphal cartilage involvement . The benefits of this technique include patient convenience, superior cosmesis, hidden scar, technical simplicity, preserved normal auricular anatomical landmarks and low risk of flap necrosis. Furthermore, its one-stage procedure requires a short learning curve and is easily reproducible. The reported pitfalls are scarce. Best quality drugs are waiting – buy levaquin 500 mg buy now to spend less time and money.
In the present article, the reconstructive outcome of the helical advancement technique to repair a variety of auricular defects is reviewed. In particular, the selection criteria were examined with a view to avoiding subsequent deformity.