Helical advancement: Pearls and pitfalls (part 2). METHODS


A prospective study was conducted from March 2004 to January 2006. The study sample was selected from patients with acquired auricular defects who were referred to the plastic surgery unit at Alkindy Teaching Hospital, Baghdad, Iraq, for reconstruction. In total, 18 patients with three types of upper one-third auricle defects (helical rim, wedge and upper one-third [Figure 1]) were selected to undergo reconstruction with the helical advancement flap technique (Table 1). The size of the defects along the helical margins ranged from 1.2 cm to 4.3 cm, the Y-shape antihelical ridges were preserved in all three types, and the triangular fossae were mostly intact. All patients were male, and 30 to 37 years of age (mean age 33.5 years). The mechanism of injury dated back to circa 1994, a result of punishment practiced on opponents of the political regime. In all cases, the elapsed date from the injury was 10 to 12 years. Initial physical and psychological assessments were undertaken, and all injuries were photographed preoperatively. Buy drugs with confidence – buy levaquin online buy now to see how cheap your treatment can be.

TABLE 1 Types of upper one-third auricle defects

Defect n (%)
Auricle rim 3 (16.66)
Auricle wedge 3 (16.66)
Auricle upper one-third 12 (66.66)
Total 18 (100)

Helical advancement: Pearls and pitfalls

Figure 1) A Helical rim injury; B Wedge injury; C Upper one-third injury of the auricle

This entry was posted in Plastic surgery and tagged Acquired ear deformity, Antia and Buch, Chondrocutaneous flap, Helical advancement.