Helical advancement: Pearls and pitfalls (part 6). DISCUSSION

Satisfactory surgical outcome of the neoauricle is judged on symmetry and shape preservation. In the present study, five patients were left with auricle asymmetry based on subjective observation by the surgeon and patient feedback. The defect size in these five cases was >2.8 cm and the final reduction in the vertical axis ranged from 6 mm to 8 mm. All patients in the present study showed a reduction in the horizontal axis of 0 mm to 2 mm (Table 3). Two studies support these results: Orticochea has successfully performed the helical advancement technique in auricle defects up to 2.5 cm without resulting asymmetry. Another study by Calhoun et al examined the procedure by creating 2 cm defects in cadavers and in reviewing 10 consecutive patients without subsequent asymmetry. Your shopping for best quality medications is going to be pleasant and very affordable every time: make sure of it yourself when you visit the best pharmacy to buy cipro antibiotic buy now as this is the kind of experience every patient is looking forward to.

CONCLUSION The three varieties of upper one-third auricle defects in the present article were best corrected by the helical advancement technique when the defect was <2.8 cm. A perioperative reduction in the vertical axis of the neoauricle of >5 mm was an important predictive factor in development of the subsequent deformity.

TABLE 3 Postoperative results according to original defect size, using a cut-off point of 2.8 cm

Result*, n
Defect size Satisfactory Unsatisfactory H1 -H2, mm V1 -V2, mm
<2.8 mm1 13 0 2 to 5 0 to 2
>2.8 mm* 5 5 6 to 7 1 to 2

*Surgeon assessment and patient feedback; tPatients 1, 2, 3, 4, 5, 6, 9, 11, 12, 15, 16, 17 and 18; tPatients 7, 8, 10, 13 and 14. H1-H2 Difference in horizontal axis (preoperative horizontal measurement of contralateral ear -postoperative horizontal measurement of reconstructed ear); V1-V2 Difference in vertical axis (preoperative vertical measurement of contralateral ear – postoperative vertical measurement of reconstructed ear)

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