DEFECTS OF HELIX AND SCAPHA-RECONSTRUCTION WITH ANTERIOR CERVICAL TUBE FLAP -IS MULTISTAGE PROCEDURE STILL GOLD STANDARD IN THE FIELD OF PLASTIC SURGERY?

Dr. M. Sugumar, Dr.N. Chandramouli Hariharan

Abstract


Helix gives the definition for the pinna. The loss of even a part of the helix and scapha gives an illusion of significant loss
of the pinna.
Background When the defect exceeds half of the pinna circumference local tissues are insufficient and the distant tissue transfer from anterior
neck in stages gives good cosmetic result and a satisfied patient.
Materials and methods 20 cases of helical defect due to trauma and assault who attended our emergency room from 2012-2017 were managed
with anterior cervical tube flap transfer in stages- 2 stages in flap dissection and 2 stages in flap inset
Results All the flaps settled well without any necrosis or dehiscence. Donor site morbidity was minimal. Many don’t require support. All the
patients were highly satisfied about the post-op result
Conclusion Though this is a multi-staged procedure, good colour match ,helical fold preservation and minimal donor site morbidity make this a
gold standard in helical reconstruction


Keywords


Anterior Cervical Tube Flap, Helical Defect, Multi Staged Procedure,Tube Pedicle.

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References


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