Use of ‘reverse prints’, ‘mirror image’ or ‘horizontal flip’ in ear reconstruction


However, I wish to differ on the terminology used for the technique ‘biaxial’, described by the author, as it gives an erroneous impression. Biaxial implies two axes as shown in Figure 1 a and b where, the skin laxity in two axes is taken advantage of, in order to close the skin edges. The author’s technique described as “edges of the ellipse (excision planned) are extended outwards into multiple W’S and V’s” can be analyzed as in Figure 2a and b where the multiple W’s or V’s can be joined to form multiple ellipses. One can now see that the axes of excision of these different ellipses are multiple and the technique takes advantage of skin laxity along multiple different axes. Therefore, geometrically speaking, the technique should be called‘Polyaxial serial excision› and not Biaxial serial excision’ as claimed by the author.

DOI: 10.4103/0970-0358.122030

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Cite this paper

@inproceedings{George2013UseO, title={Use of ‘reverse prints’, ‘mirror image’ or ‘horizontal flip’ in ear reconstruction}, author={Alexander George and Reena Alexander}, booktitle={Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India}, year={2013} }