Remnant ear utilized for the inferior part and lobule reconstruction in microtia patient with fully pre-expansion ear reconstruction technique
10.3760/cma.j.issn.1009-4598.2019.10.003
- VernacularTitle: 完全扩张法耳再造术中残耳组织的利用
- Author:
Dongyue HAO
1
;
Liwei DONG
1
;
Hengxin LIU
1
;
Wensen XIA
1
;
Xianjie MA
1
Author Information
1. Department of Plastic Surgery, Xijing Hospital, Air Force Medical University, Xi′an 710032, China
- Publication Type:Clinical Trail
- Keywords:
Microtia;
Remnant ear;
Tissue expansion;
Ear reconstruction
- From:
Chinese Journal of Plastic Surgery
2019;35(10):961-965
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aimed to present our clinical experience of the utilization of remnant ear for the inferior part and lobule reconstruction in microtia patient with the fully pre-expansion ear reconstruction technique.
Methods:During 2017.01—2018.12, 156 cases of unilateral ear reconstruction were performed. The operation was divided into three stages. Six months after the ear reconstruction, the third stage of the remnant ear utilization was performed. The surgery was planned according to the microtia classification and the remnant morphology.
Results:All the patients had no complications. Follow-up period ranged from 7—24 months, and ten months on average. All the patients with typeⅠmicrotia had satisfying results of the inferior part and lobule reconstruction. Sixteen cases of types Ⅱand Ⅲ microtia patients had unfortunate outcomes, because the residual ears were too small to reconstruct the earlobe, and the incisure appeared when remnant and reconstructed ear was connected in cases of severe remnant malposition. The rest of patients were satisfied with the reconstruction.
Conclusions:The utilization of the remnant ear based on the types of microtia and the remnant morphology could achieve the satisfying result of reconstruction for most of the microtia patients.
