Management of First XXXX via a Cartilage-Splitting Technique.

@entity1 @entity281 @entity5816 @entity2103
UNASSIGNED: First @entity5816 are uncommon lesions that often present as @entity281 . They have high recurrence rates, due in part to scarring secondary to prior @entity281 and their management. These lesions have a close relationship with the facial nerve, and most authors recommend its identification and dissection because of this relationship. Nonetheless, @entity2103 has been reported in up to 15% of cases. We describe a novel technique for the management of first @entity5816 . Such lesions that presented in an infra- or postauricular location were approached via an incision through the cartilage of the pinna, between the tragus and antitragus. This technique affords direct access to the lesion without the need for facial nerve dissection. Six @entity1 were treated. Five had prior surgery, including 3 with previous attempts at excision. There were no complications. The median follow-up was 35 months. One @entity1 developed a recurrence.
