A Novel Surgical Approach for the Reconstruction of a Large Partial-Thickness Defect of the Helical Rim
Ruiz-Salas, Verónica (Institut de Recerca Sant Pau)
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2026
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	Plastic and reconstructive surgery. Global open, Vol. 14 (January 2026) , art. e7337, ISSN 2169-7574

DOI: 10.1097/GOX.0000000000007337
PMID: 41503198

4 p, 1.1 MB

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