Ear Case 2 Wedge excision
Authors: Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD
Aggressive squamous cell carcinoma on the left antihelix.
Before and after
Step 1: Drawing
Drawing is made in a 6-7 mm margin
Step 2: Excision
Excision in 6-7 mm margin including chondral parts. A wedge excision was used, strecthing into the cavum concha.
Step 3: Undermining
Radical excision was verified by a pathologist. The skin was undermined and the upper and lower part of the ear was adapted using absorbable sutures (mattress suture).
Step 4: Closure
The skin was closed with nylon sutures
Step 5: Assessment of adaption
Perfect adaptation of the helical rim is important to close the posterior side on the ear and excise medially enough to avoid “a cup ear”
Step 6: Posterior view of adaption
Posterior view of the adaption
Step 8: Closure
After the removal of the tumor the left ear was a bit smaller compared to the right side, but remained its natural shape.
Step 9: Result
Posterior view of the final result
Step 10: Post operative photo
Micropore is applied to the cicatrice to avoid stretching