Further Observations on Reconstruction on the External Ear

Gw, Pierce; Eh, Klabunde; Ht, Brobst

doi:10.1097/00006534-195212000-00001

Cited by 15 publications

(6 citation statements)

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“…3 The method was modified in 1930 by Pierce, when he added a skin graft to the posterior aspect of the ear and a tubed flap to better reconstruct the helix. 5,8 Unfortunately, progressive cartilage resorption continued to be a persistent complication. The modern technique of autologous rib reconstruction was pioneered by Tanzer in the 1950s, paving the way for longer-lasting and reliable results with limited resorption.…”

Section: Autologous Rib Graft Frameworkmentioning

confidence: 99%

Contemporary Treatment of Microtia–Atresia

Romo,

Horne,

Ferzli

2024

Facial Plast Surg

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Microtia–atresia is a congenital deformity affecting the external ear and ear canal that can present with varying degrees of severity and morbidity. Treatment occurs along a spectrum and primarily centers on improving aesthetic appearance. Many cases of microtia will not be effectively treated with conservative measures and will require some form of reconstruction. There are several options available, including porous polyethylene implants, autologous rib grafting, and autologous chondrocyte frameworks. Equally significant is the treatment of hearing loss, as many patients with microtia–atresia will have a component of conductive hearing loss. This article aims to comprehensively review contemporary treatment modalities for microtia–atresia and discuss the advantages, disadvantages, and practicality of each. Treatment and reconstruction often take a multidisciplinary and multistaged approach to achieve optimal results, with ideal management determined by each patient's individualized needs.

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Section: Autologous Rib Graft Frameworkmentioning

confidence: 99%

Contemporary Treatment of Microtia–Atresia

Romo,

Horne,

Ferzli

2024

Facial Plast Surg

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“…The criterion standard for external ear reconstruction is autologous reconstruction with cartilage 19 . First reported by Pierce in the 1930s 20 and expanded upon by Converse 21,22 and Tanzer 23 in the 1940s, autologous cartilage reconstruction came to the forefront with Brent in the 1980s 11 . Refinements in framework carving and techniques by the senior author, Nagata 12 , and Firmin 13 had increased the artistry and reliability of autologous ear reconstruction.…”

Section: Autologous Reconstructionmentioning

confidence: 99%

A Short Review on Microtia and Bangladesh Perspective

Kalam

Ahmed

2014

Bangladesh J Plastic Surg

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“…The shape, orientation, and size of the reconstructed ear must match its counterpart as closely as possible. [1,2] The postauricular sulcus must be preserved, and the relationship of the retroauricular skin to the scalp maintained. The reconstructive efforts are complicated by the features that include an unusually high ratio of cartilage to skin and the limited and variable blood supply.…”

Section: Introductionmentioning

confidence: 99%

Management of Acquired Ear Defects and Its Outcome

Senthilkumar¹,

Vimalasowndaravalli²,

Anandan³

2017

Ann. Int. Med. Den. Res.

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Background: Acquired ear defects are common, frequently subtotal, and the complexity of the auricular anatomy renders them challenging to reconstruct. In contrast to congenital ear deformities, these defects have received little-concentrated effort to formulate a systematic approach to their analysis and treatment. Aim: To study the various types of acquired defects of ear classified based on etiology and anatomical location of the injury and assessment of outcome after reconstruction. Methods: 20 patients of acute and delayed presentation of acquired ear defect patients were included. Results: The commonly performed surgery was a cutaneous and composite flap. Donor site morbidity was the commonest complication in our study group constituting 25% of the patients. 40% of the patients scored overall outcome as excellent whereas surgeons were fully satisfied with the outcome of only 25% of the patients. Conclusion: While reconstructing ear, thin, pliable flaps with good contour and color match should be chosen and it should be completed in one or two stages, giving equal priority for the donor site scar as for the ear.

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Further Observations on Reconstruction on the External Ear

Cited by 15 publications

References 0 publications

Contemporary Treatment of Microtia–Atresia

Contemporary Treatment of Microtia–Atresia

A Short Review on Microtia and Bangladesh Perspective

Management of Acquired Ear Defects and Its Outcome

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