Reconstruction of the external ear with the use of maternal cartilage

Backdahl, M; Consiglio, V; Falconer, B

doi:10.1016/s0007-1226(54)80030-0

Cited by 15 publications

(4 citation statements)

References 3 publications

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“…Maternal cartilage for auricular reconstruction in children was tried after its use was first reported by Gillies in 1937. However, it was not successful as an implant material due to resorption 4 . Kirkham 5 in 1940, Greeley 6 in 1946, and Steffensen in 1952, 7 1955, 8 and 1965 9 all described their experiences with preserved cartilage, but this material did not support the functional demands required of an auricular framework.…”

Section: Historical Evolution Of Auricular Reconstructionmentioning

confidence: 99%

Auricular Reconstruction of Congenital Microtia (Grade III)

Aguilar

1996

The Laryngoscope

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The auricular deformity of congenital microtia (Grade III) is almost always associated with congenital atresia, an affliction that can cause devastating physical and psychological trauma in children. Auricular reconstruction for congenital microtia (Grade III) should provide a child with a reasonable facsimile of an ear through a limited number of surgical procedures, with minimum complications. To achieve this result, the author developed the Integrated Auricular Reconstruction Protocol (IARP). The IARP consists of five stages: Stage I--framework construction and placement; Stage II--lobule creation; Stage III--atresia repair; Stage IV--tragal creation; and Stage V-auricular elevation. Over a period of 5.5 years, the author performed 188 surgical procedures on 63 patients, completing 31 ears. This thesis has four objectives. The first is to strongly recommend that a child with congenital microtia and atresia be seen as early as possible by both a plastic surgeon and an otologist. The second objective is to describe a protocol by which both defects can be corrected without endangering the integrity of either. The third objective is to advocate the involvement, from the very beginning, of not only the child but also the family--a critical but often over-looked component of the treatment of congenital microtia and atresia. The fourth and final objective is to propose that plastic surgeons interested in auricular reconstruction dedicate themselves to the performance of at least 10 such reconstructions per year.

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Section: Historical Evolution Of Auricular Reconstructionmentioning

confidence: 99%

Auricular Reconstruction of Congenital Microtia (Grade III)

Aguilar

1996

The Laryngoscope

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“…Thus, the observed resorption, even of autogenous costal cartilage, caused Ombredanne 48 and others to use acrylic material and later polyethylene instead of autogenous material (Table 2). The following alloplastic materials have been used: caoutchouc, 49 tantalum wire, 50 -51 acrylic glass 52 ' 54 (Fig 8), polyethylene, 55 x-ray film, 51 polyamide, 56 silicone 5758 (Fig 9), Teflon, 59 and porous polyethylene. 60 -61 We were able to differentiate 42 cartilaginous, osseous, alloplastic, and combined frame materials; the classification provides for a subdivision into autogenous, allogenous, and xenogenous types based on origin, since different behavior in the implant bed can be assumed in each case.…”

Section: Frame Materialsmentioning

confidence: 99%

Surgical Concepts for Reconstruction of the Auricle: History and Current State of the Art

Berghaus¹,

Toplak²

1986

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\We compiled and evaluated the world literature on auricular reconstruction, for a total of over 400 publications, more than 200 authors, and over 3,300 reported cases. We found that partial reconstructions were already performed as early as 600 BC; total reconstructions were still considered impracticable in 1830. But since 1891, more than 40 different cartilaginous, osseous, and alloplastic frame materials have been described. Only eight of these were still being applied in the last decade, with autogenous costal cartilage and silicone as the leading substances. Results of the operation can be improved by special surgical manipulations, eg, the "fan-flap" technique. Taking into consideration the complication rate, the number of individual interventions, and the stability of the results, we devised a special point system that makes possible a limited assessment of the different surgical techniques.(Arch Otolaryngol Head Neck Surg 1986;112:388-397)The two major problems in recon¬ struction of the auricle are as old as the history of this operation, and they have so far lost nothing of their importance. These problems are-as stated by Eduard Zeis1 as early as 1838-the provision of a suitable sup¬ porting frame and its coverage by skin. As an optimal solution has not yet been found, the search continues for the best frame material and the most suitable surgical technique. As this is a relatively rare operation, the experience gained with it is mainly described in scattered individual rep¬ resentations, thus making it difficult to obtain a comprehensive overview.We compiled all published reports dealing with reconstruction of the auricle in an attempt to provide an overview of all known implants, transplants, and surgical techniques that have been used. In addition, we tried to establish objective criteria for weighing the pros and cons of differ¬ ent surgical techniques on the basis of information given in the literature; we did this by recording all complica¬ tions mentioned in the cases reported and by simultaneously listing all indi¬ vidual operations necessary for cor¬ rection. Finally, we wanted to answer the question of whether the prefer-enee of a certain material or surgical technique can be derived from the available literature.The completeness of the literature collection was not limited by the num¬ ber of sources (>400) or their age; reliable reports on complete auricular reconstructions date from the second half of the 19th century at the earli¬ est, a time from which it is still rela¬ tively easy to obtain references. On the other hand, it would have involved a disproportionate amount of effort to procure or translate some studies, mainly from East Bloc countries or east Asia. Approximately ten publica¬ tions were thus excluded.The thoroughly compiled sources date from pre-Christian times2 (600 BC in India) to 1984. As the search for literature was not regionally re¬ stricted, we cannot claim our study to be complete; the investigation is, how¬ ever, continuously under way. We reg¬ istered 205 auth...

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Section: Frame Materialsmentioning

confidence: 99%