Ear Auricle ; surgery ; Humans ; Keloid ; surgery

Cysts ; surgery ; Ear Auricle ; surgery ; Ear Diseases ; surgery ; Humans

Dermatofibrosarcoma/surgery* ; Ear Auricle ; Ear, External ; Humans ; Skin Neoplasms/surgery*

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

Congenital Microtia/surgery* ; Ear Auricle/surgery* ; Humans ; Reconstructive Surgical Procedures

Ear Auricle ; surgery ; Humans ; Keloid ; Otologic Surgical Procedures

OBJECTIVETo investigate the surgical techniques and skills for recurrent pseudocyst of auricle.

METHODSRetrospective analysis of 20 cases from January 2006 to May 2014 in our department, who were treated by the operations with skills as follows, resection the anterior wall of pseudocyst cartilage and perichondrium, grooves cutting the roughing the posterior cartilages wall, and local compression.

RESULTSAll 20 patients were followed up for 8 to 42 months and all were cured. No recurrence, infections and malformation were happened.

CONCLUSIONResection the anterior cartilage wall perichondrium of the pseudocyst, grooves cutting and roughing of posterior cartilages of the peudocyst, and in combined with local compression are effective treatment for recurrent cases.

Cysts ; surgery ; Ear Auricle ; pathology ; Ear Diseases ; surgery ; Humans ; Recurrence ; Retrospective Studies ; Treatment Outcome

OBJECTIVETo explore the therapeutic efficacy of a modified method with splints in correction of cryptotia.

METHODSFrom Oct. 2012 to Jan. 2014, 3 cases with unilateral cryptotia were treated with the modified method with splints. The muscles attached to the periosteum of cartilage were dissected. The muscles between the ear and temper were cut off. Then one silicon tube was put around the ear through cranioauricular sulcus. The other tube was placed within the cavum conchae and fixed with the tube around the ear.

RESULTSNo flap necrosis happened. The patients were followed up for six months to one year with satisfied and stable results.

CONCLUSIONSThe modified method is easy to perform with less morbidity. It is one of the ideal correction for cryptotia.

Ear Auricle ; abnormalities ; surgery ; Ear Cartilage ; abnormalities ; surgery ; Humans ; Reconstructive Surgical Procedures ; instrumentation ; methods ; Splints

Cysts ; surgery ; Ear Auricle ; pathology ; Ear Diseases ; surgery ; Humans ; Otologic Surgical Procedures ; Recurrence

Adolescent ; Adult ; Ear Auricle ; Ear Diseases ; surgery ; Female ; Humans ; Keloid ; surgery ; Middle Aged ; Young Adult