Joint pain

September 2010

Clinical

Prophylactic Z-plasty

Correcting helical rim deformity from wedge excision

Volume 39, No.9, September 2010 Pages 649-650

Peter Kim

Wedge excision is a popular and well documented surgical method for treating a wide range of skin lesions and cancers of the ear in the general practice setting. In the majority of cases, this is a simple and cosmetically pleasing treatment. However, it may create helical rim deformity. This article describes a simple method of preventing such deformity using prophylactic Z-plasty.

Wedge excision of the helical rim is a simple surgical method and cosmetically pleasing treatment for treating skin cancer of the ear in the general practice setting.1 It is usually a one step procedure, and in surgery of the ear can be seen as a simple elliptical excision counterpart. However, it is sometimes complicated by contour deformity of the ear (Figure 1).

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Correspondence afp@racgp.org.au

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