9 March 2017


8 thoughts on “Helical rim reconstruction with antia-buch flap

  1. Anas says:

    What is the blue thread in the posterior ear for? Is it put for drainage? If yes, when should be removed? Any special recommendations for the dressing?

    1. wnoel says:

      Dear Anas,

      Thank you so much for your comment.

      You are right. The blue threads are called “Crin de Florence” in French and are put for drainage and to avoid the occurrence of a postoperative hematoma. The removal is planned the day after the procedure. Additionnaly, we perform a dressing that reapply both flaps. We put a vaseline gauze like Jelonet in the conchal bowl, and an another piece along the helical sulcus. Then a few gauze and a band all around the head like for a helmet.

      I described a humble modification of the Antia Buch flap in the JPRAS. I let you the reference that is the following : https://www.ncbi.nlm.nih.gov/pubmed/?term=noel+w+antia+buch

      Best regards

      Dr Noel
      Plastic surgery Paris
      Hôpital Saint Joseph

  2. Mohamed enaam Ahmed says:


    1. wnoel says:

      Thank you for passing by

    2. sun yiyu says:

      How to open the video?

  3. Vlad Bloanca says:

    You did not use any kind of suture for the cartilage? Why? Thank You!

    1. wnoel says:

      Dear Vlad Bloanca,

      Thank you for your comment

      In my experience I never put sutures for the cartilage of sometimes just one (monocryl or PDS) a the edge of the superior and the inferior flap because of the thickness of the skin and to avoid any suture extrusion.
      If the procedure is done properly, there is not a great tension one the scar. If there is tension, I make a back cut at the root of the helix as described in this article https://www.ncbi.nlm.nih.gov/pubmed/?term=noel+w+antia+buch

      Dr Noel W

      1. Vlad Bloanca says:

        Thank you!

Leave a Reply