By R. Staudenmaier, P.J. Bradley
Ear reconstruction has built from the only plastic reconstruction of the auricle to a extra advanced technique that comes with the practical rehabilitation of listening to. For the patient's gain the variety of surgical procedures may be diminished to 2 or 3 whereas nonetheless keeping first-class effects. This improvement is because of advancements in surgeries in addition to technical advancements equivalent to bone-anchored listening to aids or cochlear implants. The authors of this quantity have thought of various points of reconstruction of critical ear malformation. advancements in surgical procedure and the alternative of prosthetic fabrics are heavily tested, and the advantages of alloplastic fabrics compared to autologous cartilage are mentioned. beauty results will not be defined in isolation, yet almost about advancements in sufferers' listening to, really within the context of bone-anchored and implantable listening to aids. comparable fields, similar to tissue engineering, carry sizeable untapped capability for this sector. The influence they're going to have sooner or later is mentioned intimately, assisting to color an image of remedies that would develop into to be had to pros. This quantity is an quintessential evaluation that would be of curiosity to otorhinolaryngologists, plastic surgeons, maxillofacial surgeons and pediatricians.
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Additional resources for Aesthetics and Functionality in Ear Reconstruction (Advances in Oto-Rhino-Laryngology, Vol. 68)
17 Helling ER: Endoscope-assisted temporoparietal fascia harvest for auricular reconstruction. Plast Rec Surg 2008;121:1598–1605. 18 Reinisch JF: Microtia reconstruction using a polyethylene: an eight year surgical experience. Proceedings 78th Annu Meet Am Assoc Plast Surg, Colorado Springs, 1999. 19 Firmin F, Raphaël B: Rapport du XXXIIIème Congrès de la Société Française de Chirurgie Plastique Reconstructrice et Esthétique, Paris, 1988. 20 Firmin F, Guichard S: La microtie dans la dysplasie oto-mandibulaire.
Type 3 versus type 1. a The lobule is too high and posterior to be transposed to its ideal location using a type 1 skin approach. b Type 3b is used instead. The skin incision will allow preparation of the skin pocket and defatting of the lobule to obtain a good adaptation of the skin to the tragus. c Type I complete framework. d Suction drainage facilitates good adaptation of the skin to the framework. It is better to postpone the excision of some skin excess on the helix to preserve the skin flap blood supply.
B The framework has been placed in the ideal location, and the anterior part of the ectopic remnants have been excised. c The entire framework was removed following a severe infection. d The reconstruction was started again from scratch. e Framework type I sculpted from rib cartilage (segments harvested on the right side of the thorax). f Final result after the second reconstruction. We have never observed a primary infection of a microtic ear without an auditory canal. That is the reason why it is essential to avoid infection in presence of an auditory canal, to clean the canal preoperatively, to perform a bacteriologic study and prescribe antibiotic drops if necessary.