Two-flap earlobe rotation for extensive mid-helix defect: a case report of a new modification to an existing technique
Por:
Ruelas-Villavicencio, AL, Malagón-Liceaga, A
Publicada:
12 dic 2024
Resumen:
Reconstructing ear defects in very elderly patients is challenging, but one-step procedures are beneficial due to reduced morbidity and fewer hospital visits while maintaining ear size, shape, and symmetry. In 2018, Jaber et al. introduced a 90 degrees earlobe rotation technique to repair full-thickness auricular defects while preserving the earlobe. We present a modified approach, dividing the earlobe into two flaps for better mobility, rotating them to cover a mid-helix defect in a 93-year-old patient. This is especially useful for older patients with large earlobes, who are prone to skin cancers like keratinocyte cancer. The cosmetic result is satisfactory, with minor asymmetries rarely an issue. This technique provides a practical, single-step solution for functional and esthetic reconstruction in elderly patients.
Filiaciones:
Ruelas-Villavicencio, AL:
Univ Nacl Autonoma Mexico, Fac Med, Dermatol, Escolar 411A,Ave Univ 3004, Mexico City 04360, Mexico
Med Clin Fdn, Dermatol, Puente Piedra 29, Mexico City 14050, Mexico
Natl Inst Nutr Salvador Zubiran, Dermatol Dept, Vasco Quiroga 15, Mexico City 14080, Mexico
Malagón-Liceaga, A:
Univ Nacl Autonoma Mexico, Fac Med, Dermatol, Escolar 411A,Ave Univ 3004, Mexico City 04360, Mexico
Med Clin Fdn, Dermatol, Puente Piedra 29, Mexico City 14050, Mexico
gold, All Open Access; Gold Open Access
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