Ear Case 1 Ticket clip excision
Authors: Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD
84 year old male with an aggressive ulcerating squamous cell carcinoma on the helical rim of the right ear.
Before and after
Step 1: Pre operative photo
Ulcerating squamous cell carcinoma on the helical rim of the right ear
Step 2: Drawing
Drawing is made in a 7.5 mm margin
Step 3: Excision
Excised in 7.5 mm margin including chondral parts, using per-operative histology freezing assessment.
Step 4: Re-Excision
Excised in further 3 mm until the borders were histologically verified free of cancer.
Step 5: Closure
Due to the size of the excision defect it was not possible to adapt the upper and lower part of the remaining ear. Instead the skin was closed over the chondral parts to avoid necrosis of these.
Step 6: Follow-up
Patient was seen at 3 months follow-up in the outpatient clinic. No sign of recurrent carcinoma.