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Editorial Footnote

Editorial Footnote Abstract The purpose of Levin and colleagues' investigation was to study those areas of the ear that should be repaired and those that can heal by secondary intention, as well as to study the best management of exposed cartilage. The authors correctly conclude that the location of the wound is the most important factor in predicting the cosmetic result. I agree with their conclusion that helical rim defects often result in notching; therefore, I routinely reconstruct helical rim defects unless they are extremely superficial. 1 commonly use skin grafts if the base of the wound is adequate to support a graft, or alternatively use helical rim advancement flaps for small defects or a two-stage reconstruction with a cartilage graft and postauricular pedicle flap for very large defects that result in significant loss of cartilage. For wounds in combined locations, 1 routinely repair wounds of the scapha or helix and scapha. If allowed References 1. Albom MJ. Surgical gems . J Dermatol Surg Oncol. 1975;1:60.Crossref 2. Brown CD, Zitelli JA. A review of topical agents for wounds and methods of wounding: guidelines for wound management . J Dermatol Surg Oncol 1993:19:732-737.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Editorial Footnote

Abstract

Abstract The purpose of Levin and colleagues' investigation was to study those areas of the ear that should be repaired and those that can heal by secondary intention, as well as to study the best management of exposed cartilage. The authors correctly conclude that the location of the wound is the most important factor in predicting the cosmetic result. I agree with their conclusion that helical rim defects often result in notching; therefore, I routinely reconstruct helical rim defects...
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1996.01890130059009
Publisher site
See Article on Publisher Site

Abstract

Abstract The purpose of Levin and colleagues' investigation was to study those areas of the ear that should be repaired and those that can heal by secondary intention, as well as to study the best management of exposed cartilage. The authors correctly conclude that the location of the wound is the most important factor in predicting the cosmetic result. I agree with their conclusion that helical rim defects often result in notching; therefore, I routinely reconstruct helical rim defects unless they are extremely superficial. 1 commonly use skin grafts if the base of the wound is adequate to support a graft, or alternatively use helical rim advancement flaps for small defects or a two-stage reconstruction with a cartilage graft and postauricular pedicle flap for very large defects that result in significant loss of cartilage. For wounds in combined locations, 1 routinely repair wounds of the scapha or helix and scapha. If allowed References 1. Albom MJ. Surgical gems . J Dermatol Surg Oncol. 1975;1:60.Crossref 2. Brown CD, Zitelli JA. A review of topical agents for wounds and methods of wounding: guidelines for wound management . J Dermatol Surg Oncol 1993:19:732-737.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jan 1, 1996

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