medigraphic.com
ISSN 1561-297X (Print)

2019, Number 3

<< Back Next >>

Rev Cubana Estomatol 2019; 56 (3)

Posttraumatic reconstruction of a partial ear loss

Morales ND

Language: Spanish
References: 21
Page: 1-11
PDF size: 437.38 Kb.


ABSTRACT

Introduction: The aims of auricular reconstruction are to maintain the permeability of the external auditory canal and restore general shape and projection. Objective: Characterize a clinical case of posttraumatic reconstruction of a partial ear loss, highlighting the importance of the therapy sequence followed. Clinical case presentation: A male 26-year-old patient attends outpatient consultation. He reports that he was treated in the emergency service 10 days before upon having lost a section of his ear due to a bite in a fight. Physical examination reveals irregular partial loss of the right ear. It is decided to wait three weeks and indicate preoperative checkup. At the end of that period the first surgical reconstruction session is conducted, with autologous graft of auricular cartilage from the left ear, which was placed in the form of a "pocket" in the temporal region. Three weeks after the first surgical session, the second reconstruction is performed under local anesthesia, with release of the "pocket" from the auricular region, advancement of a posterior flap and placement of a free skin graft. The patient reported great satisfaction with the esthetic results obtained. Main remarks: A therapy sequence was followed in response to a partial traumatic defect of the outer ear in its upper and middle thirds. This type of traumatic sequel required the performance of surgical procedures at several operative moments, ensuring good blood supply to tissues, absence of tension and appropriate final esthetic results.


REFERENCES

  1. Meaike JD, Dickey RM, Killion E, Bartlett EL, Brown RH. Facial Skin Cancer Reconstruction. Semin Plast Surg [Internet]. 2016 [citado 21 Dic 2018];30(3):108-21. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4961510/

  2. Pickrell BB, Hughes CD, Maricevich RS. Partial Ear Defects. Semin Plast Surg [Internet]. 2017 [citado 21 Dic 2018];31(3):134-40. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5550313/

  3. Ali K, Trost JG, Truong TA, Harshbarger RJ. Total Ear Reconstruction Using Porous Polyethylene. Semin Plast Surg [Internet]. 2017 [citado 21 Dic 2018];31:161. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5550314/pdf/10-1055-s-0037-1604261.pdf

  4. Smith RM, Byrne PJ. Reconstruction of the Ear. Facial Plast Surg Clin North Am [Internet]. 2019 [citado 21 Dic 2018];27(1):95-104. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30420076

  5. Jessop ZM, Javed M, Otto IA, Combellack EJ, Morgan S, Breugem CC, et al. Combining regenerative medicine strategies to provide durable reconstructive options: auricular cartilage tissue engineering. Stem Cell Res Ther [Internet]. 2016 [citado 21 Dic 2018];7:19. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730656/

  6. Al Kadah B, Naumann A, Schneider M, Schick B, Linxweiler M, Papaspyrou G. Auricular reconstruction with polyethylene implants or silicone prosthesis: A single institution experience. J Craniomaxillofac Surg [Internet]. 2018 [citado 21 Dic 2018];46(12):2150-6. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30420151

  7. Kolodzynski MN, Kon M, Egger S, Breugem CC. Mechanisms of ear trauma and reconstructive techniques in 105 consecutive patients. Eur Arch Otorhinolaryngol [Internet]. 2017 [citado 21 Dic 2018];274(2):723-8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5281643/

  8. Maloney K. Partial Avulsion of the Right Ear Treated with a Pocket Technique: A Case Report and Review of the Literature. J Maxillofac Oral Surg [Internet]. 2015 [citado 21 Dic 2018];14(Suppl 1):288-92. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4379276/

  9. Ebrahimi A, Kazemi A, Rasouli HR, Kazemi M, Motamedi MHK. Reconstructive Surgery of Auricular Defects: An Overview. Trauma Mon [Internet]. 2015 [citado 21 Dic 2018];20(4):e28202. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727475/pdf/traumamon-20-28202.pdf

  10. Reinisch JF, van Hövell Tot Westerflier CVA, Tahiri Y, Yao CA. The Occipital Artery Based Fascial-Flap for Ear Reconstruction. Plast Reconstr Surg [Internet]. 2018 [citado 21 Dic 2018]. [Epub ahead of print]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30531625

  11. Jiafeng L, Jiaming S, Xiaodan L. Auricular reconstruction using a novel three-flap technique improves the auriculocephalic angle. J Plast Reconstr Aesthet Surg [Internet]. 2016 [citado 21 Dic 2018];69(10):1430-5. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27515541

  12. Li C, Jiang H, Huang C, Chen J, Wu R, Bi Y, et al. A new strategy for total auricular reconstruction using prelamination of an extended retroauricular flap with tissue expansion. J Plast Reconstr Aesthet Surg [Internet]. 2016 [citado 21 Dic 2018];69(6):819-26. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27084573

  13. Morales Navarro D, Quisilema Cadena MX, Oropesa Collado L. Reconstrucción de una pérdida parcial del pabellón auricular por trauma. Rev Cubana Estomatol [Internet]. 2016 [citado 21 Dic 2018];53(1):[aprox. 4 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072016000100012&lng=es&nrm=iso&tlng=es

  14. Worley B, Cohen JL. Maintenance of the Anatomic Contours in Auricular Reconstruction: The Button Technique. J Cutan Aesthet Surg [Internet]. 2018 [citado 21 Dic 2018];11(3):150-2. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30533992

  15. VanKoevering KK, Zopf DA, Hollister SJ. Tissue Engineering and 3-Dimensional Modeling for Facial Reconstruction. Facial Plast Surg Clin North Am [Internet]. 2019 [citado 21 Dic 2018];27(1):151-61. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30420069

  16. Stephan S, Reinisch J. Auricular Reconstruction Using Porous Polyethylene Implant Technique. Facial Plast Surg Clin North Am [Internet]. 2018 [citado 21 Dic 2018];26(1):69-85. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29153190

  17. Zhou G, Jiang H, Yin Z, Liu Y, Zhang Q, Zhang C, et al. In Vitro Regeneration of Patient-specific Ear-shaped Cartilage and Its First Clinical Application for Auricular Reconstruction. EBioMedicine [Internet]. 2018 [citado 21 Dic 2018];28:287-302. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5835555/

  18. Nimeskern L, Feldmann EM, Kuo W, Schwarz S, Goldberg-Bockhorn E, Dürr S, et al. Magnetic Resonance Imaging of the Ear for Patient-Specific Reconstructive Surgery. PLoS One [Internet]. 2014 [citado 21 Dic 2018]; 9(8):e104975. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140740/

  19. Dings JPJ, Merkx MAW, de Clonie Maclennan-Naphausen MTP, van de Pol P, Maal TJJ, Meijer GJ. Maxillofacial prosthetic rehabilitation: A survey on the quality of life. J Prosthet Dent [Internet]. 2018 [citado 21 Dic 2018];120(5):780-6. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30414646

  20. Arora V, Sahoo NK, Gopi A, Saini DK. Implant-retained auricular prostheses: a clinical challenge. Int J Oral Maxillofac Surg [Internet]. 2016 [citado 21 Dic 2018];45(5):631-5. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26792146

  21. Reich W, Exner A, Winter E, Al-Nawas B, Eckert AW. Complex functional and epithetic rehabilitation after ablation of recurrent retroauricular basal cell carcinoma - a case study. GMS Interdiscip Plast Reconstr Surg DGPW [Internet]. 2017 [citado 21 Dic 2018];6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803444/




2020     |     www.medigraphic.com