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
;
surgery
;
Ear, External
;
surgery
;
Humans
;
Keloid
;
surgery
;
Surgical Flaps
;
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.Implication of technique of "two-flap" in ear reconstruction.
Lin LIN ; Bo PAN ; Hongxing ZHUANG ; Juan HAN ; Qinghua YANG ; Yanyong ZHAO ; Leren HE ; Shujie WANG ; Haiyue JIANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2009;23(22):1017-1019
OBJECTIVE:
To explore the technique of "two-flap" in ear reconstruction.
METHOD:
Quantitative tissue expansions were used in the mastoid area in the first stage. After the final injection, there was 1 month of sustaining time. Expanded skin flap and unexpanded fascia flap were designed in the second stage, so the "two-flap" technique was used in the ear reconstruction. From January 2004 to December 2008, 1427 patients of microtia were treated using "two-flap" technique.
RESULT:
The expanded skin flap could show the fine structures of the reconstructed ears. The reconstructed ears had vivid cranioauricular angle after using the unexpanded fascia flap.
CONCLUSION
"Two-flap" method was easily manipulated and the complications were rare. The reconstructed ears had lucid and three-dimensional contour.
Ear
;
surgery
;
Ear, External
;
surgery
;
Fascia
;
transplantation
;
Humans
;
Reconstructive Surgical Procedures
;
methods
;
Skin Transplantation
;
Surgical Flaps