Eur J Plast Surg (2016) 39:159–160 DOI 10.1007/s00238-015-1159-1 LETTER TO THE EDITOR 1 1 1 1 Hiroshi Sakaida & Tomotaka Miyamura & Yasunori Matsuda & Kazuhiko Takeuchi Received: 17 August 2015 /Accepted: 28 September 2015 /Published online: 5 October 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, A wedge-shape skin incision was made around the sinus Preauricular sinus is a common congenital anomaly, opening at the crus of the helix. The skin inside the incision line which results from developmental failure of embryogen- was elevated. The cartilage surrounding the sinus tract was min- esis during which six hillocks normally fuse to form the imally excised together with the sinus tract to ensure complete removal of the epithelial lining (Fig. 2). The dissection auricle. The opening is typically located near the anterior limb of the ascending helix [1, 2]. However, in rare in- proceeded as deep as possible until the surgical field was limited. stances, the opening appears at the crus of the helix, Care was taken to minimize the skin incision and the resection of penetrates through the auricular cartilage, and reaches the auricular cartilage to prevent any postoperative deformity. the postauricular area (Fig. 1). This latter type of A retroauricular
European Journal of Plastic Surgery – Springer Journals
Published: Apr 1, 2016
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