Techniques for improving tragus definition in auricular reconstruction with autogenous costal cartilage

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Wenshin ChinDa Tao Li

Abstract

A successful total auricular reconstruction with autogenous costal cartilage depends primarily on the sculpture of the cartilaginous auricular framework. Various refinements and modifications have allowed exceptional results in experienced hands, whereas a high-defining tragus and a deep conchal cavity remain the weak links in most cases. Therefore, we advocate a modification on the fabrication of the tragus. By fastening a cartilaginous cube under the tragus, the reconstructed tragus can be projected adequately and the conchal cavity is deepened simultaneously. A total of 166 consecutive patients underwent auricular reconstruction adopting this modification between 2007 and 2009. Three cases have been selected to illustrate the favourable result of this technique. Consequently, a harmonious contour of the reconstructed auricle with detailed anatomical landmarks is achieved by precise sculpting. The reconstructed tragus is proved to be stable and rigid in the follow-up.

References

Apr 29, 1998·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·F Firmin
Jun 28, 2002·Plastic and Reconstructive Surgery·Robert L Walton, Elisabeth K Beahm
Sep 30, 2003·Current Opinion in Otolaryngology & Head and Neck Surgery·Shane Aldwin Zim
Jul 31, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Byung Chae ChoJin Suk Byun

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Citations

Sep 10, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Zhicheng XuDatao Li
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Xiao LongXiaojun Wang
Jan 3, 2020·The Journal of Craniofacial Surgery·Fakih Cihat EravciMetin Yilmaz
Jun 22, 2013·Annals of Plastic Surgery·Christopher J Coombs, Frank Lin
Jan 20, 2017·Case Reports in Otolaryngology·Colleen F Perez, Curtis W Gaball
Oct 1, 2019·Plastic and Reconstructive Surgery·Zhicheng XuYiyuan Li
Jan 17, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ahmed S MazeedNeil W Bulstrode

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