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2004, Number 1

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Cir Plast 2004; 14 (1)

Three-dimensional reconstruction of the microtic ear. Personal technique

Viera NME, Valero OUJ
Full text How to cite this article

Language: Spanish
References: 8
Page: 27-34
PDF size: 217.17 Kb.


Key words:

Microtia, reconstruction, auriculo-cephalic space, cartilaginous frame.

ABSTRACT

There are many surgical techniques to correct the microtic ear; but basically Brent and Nagata’s techniques has contributed the most to improve results in the correction of microtic ear, however, one factor that regulates the end results are the initial conditions and the surgical skills in the carving of the cartilaginous frame. These techniques of ear reconstruction are difficult to reproduce. Usually in conventional techniques the first steps of reconstruction only provide two dimensions limited by the cutaneous pocket recreated in the microtical area involving a second operation for the projection of this 2-dimension cartilaginous frame involving cartilaginous grafts, temporoparietal flaps and skin grafts for the covering and the recreation of the auricle-cephalic space producing more scars, increasing surgical time and surgical procedures with loss of sensation in the retroauricular area. The technique presented gives unique characteristics because the frame has height, depth, width and some degree of movement, projecting the neo-ear from the beginning giving appearance in three dimensions recreating the auricle-cephalic space without having subsequent surgery providing good aesthetic results.


REFERENCES

  1. Hackney FL. Plastic surgery of the ear. In: Selected Readings in Plastic Surgery 1997; 8 (16): 1-26.

  2. Nagata S. Microtia: auricular reconstruction. In: Achauer B. Plastic Surgery. Indications, operations, and outcomes. Mosby 2000: 1023-1056.

  3. Brent B. Reconstrucción de la oreja, En: McCarthy J. “Cirugía Plástica, La cara II” Argentina: Panamericana 1992: 1096-1254.

  4. Brent B. Syndromic and other congenital anomalies of the head and neck. Otolaryngol Clin North Am 2000; 33 (6): 1365-1387.

  5. Aguilar FE. Auricular reconstruction of congenital microtia. Laryngoscope 1996; 106: 1-26.

  6. Brent B. The team approach to treating the microtia atresia patient. Otolaryngol Clin North Am 2000; 33 (6): 1353-1365.

  7. Quatela VC. Microtia Repair. Facial Plastic Surgery 1995; 11(4): 257-273.

  8. Firmin F. Ear Reconstruction in case of typical microtia. Scand J Plast Reconstr Hand Surg 1998; 32: 35-47.




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Cir Plast. 2004;14