Auricular reconstruction — Our experience at marienhospital stuttgart, Germany

Fischer, Helmut; Gubisch, Wolfgang; Sinha, Vikas

doi:10.1007/s12070-010-0039-z

Cited by 4 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When alloplastic materials are used subcutaneously, there is definite risk of skin breakdown, contamination and eventually the loss of entire reconstructive procedure [8]. The reconstruction must start by placing the framework in an ideal position under unscarred skin [11].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reconstruction of Partial Auricular Defects by Polypropylene Mesh Helix Framework

Mehanna¹

2012

MPS

View full text Add to dashboard Cite

Background: Current techniques in partial auricular reconstruction can utilize an autologous or alloplastic framework covered by a variety of soft tissue envelopes. Objective: Is to evaluate the benefit of using polypropylene mesh to reconstruct helix framework in partial auricular defects covered with local postauricular skin flap. Method: Eleven patients with partial auricular defect were treated by using polypropylene mesh helix framework which is covered with post auricular flap in a two stage repair; clinical results of the procedure were evaluated. Results: This technique achieved satisfactory results in 9 (81.8%) cases. Early Post operative complications: Hematoma formation in one case, mild infection in two cases, edema in two cases, and Partial overlying skin breakdown in one case with failure of technique. Late Post operative complications: Hypertrophic scar in one case, narrow retroauricular sulcus in one case, hair bearing skin over the auricle in one case. Conclusion: It is a simple technique, with satisfactory clinical results, easily done, even under local anesthesia, with no donor site morbidity of autogenous cartilage harvesting, not costly as other alloplastic substitutes, large series and longer follow up period are needed for better evaluation of this technique.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Therefore there is less morbidity of the patient, avoidance of additional scar and the technical difficulties of carving the costal cartilage [8].…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of Partial Auricular Defects by Polypropylene Mesh Helix Framework

Mehanna¹

2012

MPS

View full text Add to dashboard Cite

show abstract

“…The autologous costal cartilage used in traditional auricular reconstruction can calcify [ 23 , 65 ] and become resorbed [ 64 , 66 , 67 ] over time. This means that the reconstructed ear may become stiff or thickened [ 23 , 65 ], with loss of projection or definition [ 37 , 64 , 66 , 67 ] resulting in a variable final aesthetic result. The fibro-cartilaginous donor tissue is also intrinsically different in terms of flexibility and strength from the native elastic cartilage it aims to reconstruct [ 23 , 64 ].…”

Section: Limitations Of Current Auricular Reconstructive Techniquesmentioning

confidence: 99%

“…Wound infection or pressure dressings [ 28 , 64 ] Projection loss 1. Effacement of postauricular sulcus due to contraction of skin grafts [ 37 , 67 ] Distortion 1. Constriction of skin and soft tissue overlying the construct due to scarring or ischaemia [ 37 ] 2.…”

Section: Limitations Of Current Auricular Reconstructive Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Combining regenerative medicine strategies to provide durable reconstructive options: auricular cartilage tissue engineering

et al. 2016

View full text Add to dashboard Cite

Recent advances in regenerative medicine place us in a unique position to improve the quality of engineered tissue. We use auricular cartilage as an exemplar to illustrate how the use of tissue-specific adult stem cells, assembly through additive manufacturing and improved understanding of postnatal tissue maturation will allow us to more accurately replicate native tissue anisotropy. This review highlights the limitations of autologous auricular reconstruction, including donor site morbidity, technical considerations and long-term complications. Current tissue-engineered auricular constructs implanted into immune-competent animal models have been observed to undergo inflammation, fibrosis, foreign body reaction, calcification and degradation. Combining biomimetic regenerative medicine strategies will allow us to improve tissue-engineered auricular cartilage with respect to biochemical composition and functionality, as well as microstructural organization and overall shape. Creating functional and durable tissue has the potential to shift the paradigm in reconstructive surgery by obviating the need for donor sites.

show abstract

ASC/chondrocyte-laden alginate hydrogel/PCL hybrid scaffold fabricated using 3D printing for auricle regeneration

Jang

Koo

Kim

2020

Carbohydrate Polymers

View full text Add to dashboard Cite

Auricular reconstruction — Our experience at marienhospital stuttgart, Germany

Cited by 4 publications

References 14 publications

Reconstruction of Partial Auricular Defects by Polypropylene Mesh Helix Framework

Reconstruction of Partial Auricular Defects by Polypropylene Mesh Helix Framework

Combining regenerative medicine strategies to provide durable reconstructive options: auricular cartilage tissue engineering

ASC/chondrocyte-laden alginate hydrogel/PCL hybrid scaffold fabricated using 3D printing for auricle regeneration

Contact Info

Product

Resources

About