A modified technique for firm elevation of the reconstructed auricle

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Jing ShanTianyu Zhang

Abstract

Reconstruction of the external ear for microtia remains one of the most challenging clinical problems in reconstructive surgery. Whether the reconstructive effort replicates a normal ear relates to making a delicate ear cartilage framework and achieving a firm projection of the constructed auricle. In this study, we present a new technique to create a firm elevation. 46 patients with congenital microtia, 30 male and 16 female, are included in this series. We used a modified Nagata's two-stage technique. In the second stage, instead of using a temporoparietal fascial flap to wrap a cartilage wedge, we developed a new technique using the retroauricular fascial flap wrapping a porous polyethylene (Medpor) wedge as the strut. None of the patients demonstrated any necrosis for the implanted auricle and grafted skin. None of the patients had postoperative exposure of the porous polyethylene wedge. The height of the protrusion for point 1 (the protrusion at superaurale level) and point 2 (the inferior end of the helix, where it connects with the lobule) ranged from 1.1 to 1.6 cm with the median of 1.23 cm, and from 0.8 to 1.1 cm with the median of 0.93 cm, respectively. The advantages of this technique are safe, practical and straight...Continue Reading

References

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Aug 1, 1993·Plastic and Reconstructive Surgery·S Nagata
Apr 25, 2003·Plastic and Reconstructive Surgery·Michael J Yaremchuk
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Jun 15, 2006·Plastic and Reconstructive Surgery·Yoshiaki TaiToshihiko Yamauchi
Nov 14, 2012·The Journal of Craniofacial Surgery·Jie-Cong WangJia Xu

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Citations

Nov 15, 2017·The Journal of Craniofacial Surgery·Suk Yoon JangTae Hui Bae
Sep 21, 2017·Annals of Plastic Surgery·Herman VercruysseNeil W Bulstrode
Nov 17, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Qianwen WangXu Zhou
Dec 1, 2021·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Ying ChenTian-Yu Zhang

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