Wound repairs. Unusual problems and solutions.

Abstract

This article presents solutions to difficult surgical repair problems. Solutions for the repair of defects in the ear (in this case the ear lobule) and upper lip are discussed. A solution is also provided for an exasperating problem that arises when cheek and neck lifts are done. An aid for the design of cutaneous flaps is shown, and an improvisation that can be used for the closure of wounds near the nose and upper lip is presented. Properly used, this technique can enhance the cosmetic result of wound closures that might otherwise distort the ala nasi or structures near the lip.