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2018, Number 4

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Rev Fac Med UNAM 2018; 61 (4)

Traumatic auricular reconstruction with a retroauricular flap. A current and reproducible alternative for resident doctors in training

Baldin AV, Osnaya MH, Chávez PG, Telich TJE, Carrillo CJR, Apellaniz CAG
Full text How to cite this article

Language: Spanish
References: 9
Page: 26-29
PDF size: 225.78 Kb.


Key words:

Auricular reconstruction, atrial trauma, flap, retroauricular.

ABSTRACT

Introduction: Traumatic auricular reconstruction is a challenge for the plastic surgeon. The purpose of this reconstruction is to reproduce and recreate the shape and topography of the auricular region, diminishing the typical stigmas of a reconstruction .
Clinical Case Study: The case of a 5-year-old male patient with a dog bite on the right ear presenting a contused-incised wound in the auricular hall with loss of cutaneous cover, partial loss of atrial cartilage and cartilage exposure at the level of the helix and retroauricular portion. Auricular reconstruction is performed by atrial repair and retroauricular flap. In a second surgical time, a section of the base of the flap is performed, achieving a suitable auricular contour and definitive skin coverage.
Conclusions: Auricular injuries, due to their anatomical situation, are frequent in the professional practice of a plastic and reconstructive surgeon. There are multiple surgical techniques for the reconstruction of auricular defects, however, the retroauricular flap offers a simple and versatile technique and medical residents in training can reproduce it.


REFERENCES

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  2. Crespo A, Rivas J, Cuenca R. Colgajo temporal prefabricado en reconstrucción auricular. Cirugía Plástica. 1999;9:9-11.

  3. Brent B. Reconstruction of the auricle. En: McCarthy JG. Plastic Surgery. Philadelphia: Saunders; 1989; pp. 2094-152.

  4. Santander B, García M, Aliaga A. Reconstrucción del pabellón auricular con colgajo retroauricular. Rev. Cuadernos. 2006;51(2):70-2.

  5. Oztürk S, Sengezer M, Zor F. Reconstruction of acquired partial auricular defects by porous polyethylene implant and superficial temporoparietal fascia ap in adult patients. Plast Reconstr Surg. 2006;118 (6):1349-57.

  6. Giugliano C. Malformaciones auriculares. En: Calderon W (ed). Cirugía Plástica. Santiago, Sociedad de Cirujanos de Chile; 2001. pp. 373-81.

  7. Larrabee Jr WF, Sherris DA. Ear. En: Principles of Facial Reconstruction. Philadelphia: Lippincott- Raven; 1995. pp. 556-71.

  8. Andrea L, Constance M, Peter G, Jatin P. Microvascular Reconstruction of the Skull Base: A Clinical Approach Defect Classication and Flap Selection. Skull Base. 2007; 17(1):5-15.

  9. Mantilla M. Reconstrucción auricular: experiencia de 24 años. Cir plást Iberolatinoam. 2008;34(2):34-9.




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Rev Fac Med UNAM . 2018;61