The use of free helical rim flaps for the reconstruction of the ala nasi and lower eyelid

Abstract

Aims and Objectives: The aim of this study was to present our experience using free flaps harvested from the helix in the reconstruction of the nose and lower eyelid. Materials and Methods: Between 2016 and 2019, 5 male and 2 female patients treated surgically with free helical flaps were included in the study. All defects had occurred due to tumor excision. Results: A total of two lower eyelid defects and five ala nasi defects were reconstructed using free helical rim flaps. Seven helical flaps based on the superficial temporal vessels were obtained and used for reconstruction. No recurrence was detected in any of the patients within the followup period. The only remarkable complication reported was dehiscence development, which was attributed to partial venous congestion in one patient. Free helical rim flaps are similar to the ala nasi and lower eyelids in terms of concave shape, tissue, and color. Conclusion: The results have shown that free helical rim flaps are a suitable option for use in the repair of appropriately sized fullthickness defects of the ala nasi and lower eyelid.