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Local Tissue Advancement: Reconstructing Superior Helical Rim Defect and Exposed Ear Cartilage After Mohs Surgery

Cheryl Yu, MD1; Derek Sheen, MD2; Katherine M. Yu, MD1; Sarah Debs, MD1; Peter Kwak, MD1; Kevin J. Quinn, MD3; Thomas Lee, MD, FACS1
1Virginia Commonwealth University Medical Center
2University of Texas Southwestern Medical Center
3Mass Eye and Ear/Harvard Medical School

1. Introduction

2. Surgical Approach

3. Local Tissue Advancement

  1. Raise Skin Flaps in Subperichondrial Plane
  2. Reposition Cartilage for Superior Helical Rim

4. Closure

  1. Close Skin and Bury Cartilage
  2. Quilt the Cartilage to Prevent Hematoma and Cauliflower Deformity
  3. Inject Local Anesthetic for Post-op Pain Control