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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