4.Ear reconstruction: from reconstructive to cosmetic.
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2015;50(3):187-191
OBJECTIVEPrevious literatures have reported favorable results in ear reconstruction. Many details in fabricating cartilage framework have been paid much attention. Whereas, many patients still complain about unnatural contours. This article is to provide a new technique to solve some of the problems.
METHODSA total of 253 patients underwent reconstruction using the modified technique from 2011 to 2014. In fabricating the complex of antihelix, the authors modified the prior method. Instead of sculpting a sharp Y-shaped cartilage graft for projecting the prominent structures, the authors increased the width of the superior crura, sculpted a gentle slope in the both sides of superior crura, simultaneously carved a groove in the base frame to join with the carved attachment smoothly. The width of inferior crura was about one third of the superior crura width, and the inferior crura was narrow and prominent. A gentle slope was carved on the antihelix and a groove was carved on the base frame for the antihelix to sit on.
RESULTSFour cases have been selected to illustrate the favorable results of this technique. Due to the modified details, the superior crura, inferior crura, antihelix and the structures around them, in these cases, show natural contours, and provide a coordinated figure to the integrity of reconstructed ear.
CONCLUSIONSAntihelix complex is one of the most important structures for creating a natural auricle. The natural superior and inferior crura and antihelix can enhance the impression of a harmonious shape, and acquire an increased satisfaction for both patients and surgeons.
Cartilage ; Ear Auricle ; Ear, External ; surgery ; Humans ; Reconstructive Surgical Procedures
6.Clinical observation the effect resection surgery by transferring the skin flap to repair the earlobe keloid.
Enyu LI ; Yuqin TIAN ; Qingsheng GUO
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(10):948-949
Ear Diseases
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surgery
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Ear, External
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surgery
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Humans
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Keloid
;
surgery
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Surgical Flaps
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Wound Healing
9.Correction of cryptotia and cartilage malformation with Z-plasty without skin grafting.
Jafeng LIU ; Xiaodan LI ; Jiaming SUN
Chinese Journal of Plastic Surgery 2016;32(1):43-45
OBJECTIVETo explore the curative effect of Z-plasty without skin grafting for correction of cryptotia.
METHODSTwenty-five cases (29 ears) with cryototia were corrected by Z-plasty without skin grafting in our department from June 2009 to January 2014. A Z-shaped incision with one arm on the back of antihelix and the other arm on the edge of hair was made on the back of ear and scalp. The adhesion on the back of antihelix cartilage was dissected and the cartilage framework was lifted and re-positioned. The postauricular flap was transferred to cover the wound on the back of antihelix. The other flap was transferred to cover the remnant wound and correct the malformation of cryptotia.
RESULTSAll the patients were followed up from 6 months to 1 year with stable and symmetric appearance.
CONCLUSIONSThe shape of auricle is natural after operation without skin grafting. It is a simple and ideal method for the treatment of cryptotia.
Ear Cartilage ; abnormalities ; surgery ; Ear, External ; abnormalities ; surgery ; Humans ; Skin Transplantation
10.Correction of severe cup ears using postauricular tongue-shaped flap combined with deep fascial suspension.
Ying GUO ; Chen Long LI ; Yao Yao FU ; Tian Yu ZHANG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2021;56(4):323-328
Objective: To investigate the effect and satisfaction of using the postauricular tongue-shaped flap combined with deep fascia suspension in correcting severe cup ear malformation. Methods: Between August 2018 and November 2019, nine cases (10 ears) of Tanzer type Ⅲ severe cup ear malformation were treated with postauricular tongue-shaped flap combined with deep fascia suspension in this study. Results: Nine cases primary healed without hematoma, infection or skin necrosis, except one case with postoperative incision dehiscence. The cup ear deformity was significantly improved after the operation, the helix was intact, and the anti-helix was visible. The length, width, and circumference of the auricle were significantly enlarged three months following surgeries. There were no other complications except 1 patient recurrence 12 months after surgery. The patients were highly satisfied with the results of the surgery. Conclusions: Although the aesthctic of the reconstructed auricle is insufficient, this new technology makes full use of the autologous auricle tissue to correct severe cup ear malformation with good results.
Ear Auricle/surgery*
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Ear, External/surgery*
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Humans
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Reconstructive Surgical Procedures
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Surgical Flaps
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Tongue