Modification of two-flap method and framework construction for reconstruction of atypical congenital auricular deformities

Plastic and Reconstructive Surgery
C Park

Abstract

A single-stage two-flap method utilizing an anteriorly based subcutaneous pedicled skin flap and a mastoid fascial flap has been applied successfully for reconstruction of lobule-type microtia. This paper presents three modifications of the two-flap method, with which atypical congenital auricular deformities necessitating both framework construction and coverage were reconstructed successfully. In middle and upper auricular deformities such as a concha-type or a scapha-type microtia, a cranially based postauricular skin flap and lower mastoid fascial flap were used. For upper auricular deformities such as microtia representing lop-ear deformity, a narrow cranially based postauricular skin flap (Grotting flap) and upper mastoid fascial flap were used. For lower auricular deformities such as total absence of the earlobe, a cranially based skin flap and lower mastoid fascial flap were utilized. In each deformity the framework was totally or partially constructed with autogenous costal, conchal, or septal cartilage or their combination according to the size or shape of the defect. Fifty-two atypical auricular deformities were corrected with the modified two-flap method and framework construction. The follow-up has ranged from 4 mo...Continue Reading

References

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Sep 1, 1991·Plastic and Reconstructive Surgery·C ParkY W Kim
Nov 1, 1989·Plastic and Reconstructive Surgery·C Park
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Aug 1, 1958·Plastic and Reconstructive Surgery and the Transplantation Bulletin·J K GROTTING

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Citations

Oct 17, 2001·Annals of Plastic Surgery·E L Hodgson, A D McGregor
Dec 29, 2000·Plastic and Reconstructive Surgery·C Park
Jun 28, 2002·Plastic and Reconstructive Surgery·Robert L Walton, Elisabeth K Beahm
Feb 5, 2000·British Journal of Plastic Surgery·K YoshimuraS Park
Jul 20, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Zhenyu ChenYuehua Zhu
Dec 10, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Tomohiro MinagawaSohju Kimura
Jan 6, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Akihiko OyamaYuhei Yamamoto
Nov 16, 2017·Plastic and Reconstructive Surgery·Chul Park, Jung Youl Park
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Xiao LongXiaojun Wang
Jul 17, 2015·JAMA Facial Plastic Surgery·Ralf SiegertRalph Magritz
Nov 27, 2014·Plastic and Reconstructive Surgery. Global Open·Takatoshi YotsuyanagiTamotsu Saito

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