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Prophylactic Z-Plasty to Prevent the Notch Deformity of the Helical Rim Following the Wedge Excision of the Ear

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Advanced Cosmetic Otoplasty

Abstract

Wedge excision of an ear lesion and cancers of the ear can result in notch deformity of the helical rim. Such deformity is well accepted in majority of cases and can be hidden behind the longer hair, but in some cases, it leads to patient dissatisfaction. Application of Z-plasty [1] in these instances can effectively prevent helical rim notch deformity, and this chapter will illustrate this technique. The authors discuss the technique of Z-plasty.

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References

  1. Kim P. Prophylactic Z-plasty – correcting helical rim deformity from wedge excision. Aust Fam Physician. 2010;39(9):649–50.

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  2. Holzmann RD, Guldbakke KK, Schanbacher CF. Bilateral advancement flaps with helical rim Z-plasty. Modification for management of ear defects. Dermatol Surg. 2008;34(3):374–7.

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  3. Hodges A. Z-plasty.A-Z of plastic surgery. Oxford: Oxford University Press; 2009.

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  4. Lee PK, Ju HS, Rhie JW, Ahn ST. Two flaps and Z-plasty technique for correction of longitudinal ear lobe cleft. Br J Plast Surg. 2005;58(4):573–6.

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Correspondence to Peter Kim M.D., MBBS .

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© 2013 Springer-Verlag Berlin Heidelberg

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Kim, P. (2013). Prophylactic Z-Plasty to Prevent the Notch Deformity of the Helical Rim Following the Wedge Excision of the Ear. In: Shiffman, M. (eds) Advanced Cosmetic Otoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35431-1_54

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  • DOI: https://doi.org/10.1007/978-3-642-35431-1_54

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35430-4

  • Online ISBN: 978-3-642-35431-1

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