2007, Number 4
Acta Pediatr Mex 2007; 28 (4)
León-Pérez JA, García JI, Sesman-Bernal AL, Fernández-Sobrino G
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ABSTRACTAntecedents. Optimal auricular reconstruction for microtia requires a portion of a costal cartilage on which to carve the details of the framework, the key to preserve the anatomical details through the skin. The basic steps in our technique are similar to those of Nagata, but we propose the use of this mold in order to obtain a frame for best aesthetic anatomical results in auricular reconstruction.
Material and Method. We reviewed the records of 406 children with microtia operated in the Department of Plastic Surgery of our Hospital from January of 2003 to December of 2006. In the surgical technique used, we propose a mold as an exact copy of the opposite normal ear in case of microtia unilateral; or a copy of the normal ear of some relative in case of bilateral microtia.
Results. We obtained an adequate form of the framework, good definition of it under the skin and excellent long-term esthetic results.
Conclusions. The use of this mold as support to form the frame of autologous cartilage in auricular reconstruction for microtia permits to obtain an adequate definition of the details and an ear quite similar to the normal contralateral, thus providing better esthetic results. While more comparative studies are desirable between the old technique and the one described in our results have been most satisfactory.