Classification and Algorithmic Management of Constricted Ears: A 22-Year Experience

Plastic and Reconstructive Surgery
Chul Park, Jung Youl Park

Abstract

The classification and corrective methods for the constricted ears continue to be controversial. To clarify them, the authors have reviewed and analyzed cases operated on at their Center from January of 1992 to January of 2014. A total of 164 ear cases (involving 139 patients), showing features of lidded helix, compression of scapha and fossa triangularis, and/or cup-like protrusions, were included in their study (microtias with constricted ear features were excluded) and reviewed through medical records, photographs, analysis of surgical methods, and postoperative outcomes. The deformed ears were classified into four graded types by means of the antihelical tubing test and the scapha-helix push test as follows: type I (n = 21), type II (n = 63), type III (n = 38), and type IV (n = 42). Throughout this series, the authors have continued the improvement and performance of consistent operative techniques. Antihelical tubing, concha cartilage grafting, tumbling concha-cartilage flap, antihelical wrapping, and helical expansion were the preferred techniques. A total of 144 ear cases (88 percent) were followed for 1 month to 14 years (average, 13.2 months). The average score of aesthetic outcomes, rated on a four-point Likert scale ...Continue Reading

References

Aug 18, 2000·Plastic and Reconstructive Surgery·C Park
Jun 28, 2002·Plastic and Reconstructive Surgery·Chul Park
Jul 18, 2002·Clinics in Plastic Surgery·Alfredo A ParedesNabil I Elsahy
Jul 18, 2002·Clinics in Plastic Surgery·Satoru Nagata
Aug 1, 1958·Plastic and Reconstructive Surgery and the Transplantation Bulletin·J K GROTTING
Jul 3, 2008·Plastic and Reconstructive Surgery·Joy I Odili, David T Gault
Apr 2, 2009·Plastic and Reconstructive Surgery·Chul Park
Jan 28, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M Kon, M P van Wijk

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Citations

Nov 16, 2017·Plastic and Reconstructive Surgery·Chul Park, Jung Youl Park
Aug 3, 2020·Plastic and Reconstructive Surgery·Nadim JoukhadarMichael Bezuhly
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Takatoshi YotsuyanagiMasahiro Onuma
Aug 26, 2021·Plastic and Reconstructive Surgery·Zhen ZhongYanmei Zhang

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