Auricular reduction plastic surgery

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Trendelenburg excision; Triple wedge-shaped chondrectomy

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Trendelenburg, 1908

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Reduction of the size of the auricle as a result of a three-layer wedge-shaped tumor excision.

General information
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  • If after three-layer wedge-shaped tumor excision defects in the helix and anthelix region do not exceed 3 cm, the shortened helix edge can be rejoined by skin suturing. This is particularly successful in the upper two thirds of the auricle.
  • In order to avoid excess tissue in the anthelix area in the case of defects wider than 1 cm and to prevent the auricle from folding over when the shortened helix edge is joined, two opposing Burowsche relief triangles are applied. Cave! Cartilage sutures should be avoided because of the risk of ear cartilage necrosis.

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  3. Tebbetts JB (1982) Auricular reconstruction selected single-stage techniques. J Dermatol Surg Oncol 8: 557-566
  4. Weerda H (1984) Problems of surgical therapy of auricular malignancies. In: Müller RPA, Friederich HC, Petres J (Hrsg) Operative dermatology in the head and neck region. Springer, Berlin Heidelberg New York, S. 197-204

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Keilexzision, multi-layer;


Last updated on: 29.10.2020