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Title:           A Novel Surgical Approach for the Reconstruction of a Large Partial-Thickness Defect of the Helical Rim
Subject:         DOI: 10.1097/GOX.0000000000007337
Plastic & Reconstructive Surgery-Global Open, Volume. 14, Issue. 1,   
 
Summary: The unique anatomy of the ear makes it difficult to reconstruct. In terms of restoring the natural curvature of this anatomic site, repair of large defects involving the helical rim after skin tumor removal presents a unique surgical challenge. We present a case of a patient with a partial-thickness surgical defect involving more than one-third of his right helical rim. The defect was reconstructed using a double transposition flap, with the flap taken from the surrounding skin. There was no need to interpose a cartilage graft, as there was no damage to the patient's own cartilage during the surgery. Both flaps survived with no complications. This single-staged surgical technique was performed under local anesthesia. The immediate and long-term outcomes were satisfactory, and cosmetic results were good. We describe the double transposition flap as an innovative technique for reconstructing specific ear defects. In particular, it is an excellent surgical option for the reconstruction of large surgical defects involving the helical rim. For defects such as the one outlined here, this flap may be considered as an alternative reconstructive option, provided the patient's medical condition allows. (Plast Reconstr Surg Glob Open 2026;14:e7337; doi: 10.1097/GOX.0000000000007337; Published online 6 January 2026.)
Author:          Verónica Ruiz-Salas 
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       Contents: Sakiyama PH, Ferrari TA, Garbin RR, et al. Old but gold Antia and Buch chondrocutaneous advancement flap for helical recon-struction: a series of cases. An Bras Dermatol. 2022;97:835 837. 
       Rect: 314, 412, 537, 402
       Flags: Print
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      Annotation: 
       Subtype: Link
       Contents: Sakiyama PH, Ferrari TA, Garbin RR, et al. Old but gold Antia and Buch chondrocutaneous advancement flap for helical recon-struction: a series of cases. An Bras Dermatol. 2022;97:835 837. 
       Rect: 314, 402, 529, 392
       Flags: Print
       AppearanceDictionary: true
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   Type: CRC32
  Checksum: c806919909a476b536e227c48e9d3958
   Type: MD5
  Checksum: ccbf36694abb188147472461bb07ec13d2354d64
   Type: SHA-1
  Checksum: 4f9ddca7f36d660c723c6332de275110ebd51052261f9be047b9f9adf119ea95
   Type: SHA-256