Information on Ear, Nose and Throat Surgeries Partial Auriculectomy
Partial Auriculectomy
Partial Auriculectomy
"V" Resection of Auricle
 
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Ear Surgery - Surgical Technique - "V" Resection for Squamous Cell Carcinoma 

  • 1.  Preoperative AppearanceA squamous cell carcinoma has been previously biopsied. All of the visible lesion was removed. For this reason the stitches were left in place to be sure the correct location was resected.
  • 2. Ear Incision OutlinedA "V" shaped resection is outlined to remove the cancer. This type of resection allows the ear to be closed primarily without buckling of the inner cartilage.
  • 3. Ear Injected with 1% Xylocaine with EpinephrineBoth sides of the ear are anesthetized using 1% Xylocaine with Epinephrine, injected with a 27 gauge needle
  • 4. First Cut MadeUsing a #11 blade a through and through cut is made in the superior portion of the planned incision and carried through the helix.
  • 5. Second Cut MadeThe inferior portion of the resection is made.
  • 6. Final DefectThe final defect. Note the exposed cartilage and that the auricular soft tissue is thicker on the posterior surface.
  • 7. Cartilage ClosedA 3-0 chromic stitch is used to close the cartilage layer. In the example, the needle is placed incorrectly. The knot should be placed in the thicker posterior tissue. If this stitch is completed the knot will be in the thin anterior tissue.
  • 8. Cartilage ClosedFinal closure of the cartilage. Note that the stitch is placed so the knot is in the thicker posterior tissue.
  • 9. Appearance after Cartilage is ClosedAppearance after closure of the cartilage.
  • 10. Posterior Skin ClosedThe posterior auricular skin is next closed with a 5-0 nylon stitch.
  • 11. Appearance of Posterior Skin ClosureFinal appearance of the posterior skin closure.
  • 12. Anterior Skin ClosedThe anterior skin is closed with an interrupted 5-0 Nylon Stitch.
  • 13. Anterior Skin ClosedA 4-0 chromic stitch is placed deep in the crease (scaphoid fossa) inferior to the helix . The stitch in this area can be very hard to remove. without inadvertently reopening the closure.
  • 14. Helix ClosedThe edge of the helix is closed.
  • 15. Final ClosureAppearance of the immediate post-operative ear closure.
  • 16. Final ClosureAppearance of ear eight days post-op.
  • 17. Post-op ResultAppearance of ear four weeks post-op.

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