Abstract
There are limited reconstructive options for soft-tissue defects of the helical crus, which is an area that is known for thin skin, densely adherent to the perichondrium, and devoid of subcutaneous tissue.1 Although small defects may heal by second intention, be repaired primarily, or be excised as a wedge, larger wounds require combined flaps and grafts. We propose the use of a miniaturized keystone flap as an alternative to reconstruction of the auricular helical crus defect.
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