Chondrocutaneous transposition flap for congenital tragal malformation with dystopic cartilage
- Author:
Ji In JEON
1
;
Jeong Hyun HA
;
Sukwha KIM
Author Information
- Publication Type:Case Report
- Keywords: Abnormalities; External ear; Surgical flap
- MeSH: Cartilage; Child; Congenital Abnormalities; Ear; Ear, External; Female; Humans; Methods; Skin; Surgical Flaps
- From:Archives of Craniofacial Surgery 2019;20(6):405-407
- CountryRepublic of Korea
- Language:English
- Abstract: Due to the variety in the shape of dysmorphic cartilage, tragus reconstruction is one of the most challenging goals in otoplasty. The authors describe a method to reconstruct a prominent tragus in a simple way suitable for accounting for the size, shape, and location of the remaining ear. We present a case of tragus deformity in an 11-year-old female patient after a previous excision of pretragal skin tags. There was a small remnant of the deeply located dystopic cartilage in a horizontal orientation. The dystopic cartilage was used to reconstruct the tragus using a chondrocutaneous transposition flap. Only a small portion of the pre-existing cartilage was used to create a chondrocutaneous transposition flap that supplemented the portion of cartilage during tragus reconstruction. The result was a new tragus that showed acceptable improvement in shape, location, and projection. Patients with a small portion of pre-existing cartilage near the tragal wall may benefit from the use of this method for tragus reconstruction.
