Tanzer Group IIB Constricted Ear Repair With Helical Advancement and Superior Auricular Artery Chondrocutaneous Flap

Egemen, Onur; Özkaya, Özay; Barutca, Seda Asfuroğlu; Aksan, Tolga; Akan, Mi̇that

doi:10.1097/scs.0b013e31824dbbb0

Cited by 7 publications

(11 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It was reported that if the difference in height is less than 1 cm, it is considered a mild deformity, but if it is more than 2 cm, it is considered a severe deformity. 19 The aim in reconstructing Tanzer IIB constricted ears is extending both the tight skin cover and cartilage available to reconstruct the upper pole of ear. 18 The reconstructive techniques for group IIB deformity include (1) refashioning the original cartilage and/or grafting, (2) extending the skin cover with flaps, and (3) procedures that correct prominence.…”

Section: Discussionmentioning

confidence: 99%

“…18 The reconstructive techniques for group IIB deformity include (1) refashioning the original cartilage and/or grafting, (2) extending the skin cover with flaps, and (3) procedures that correct prominence. 19 Stephenson 7 performed radial incisions to the existing cartilage to extend the cartilage in a fanlike manner. This is similar to what was done in the current study, as radial incisions were done to release the constricted concha to release the narrow intertragal notch, which have a positive impact on the patient's satisfaction with the conchal subunit.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Modified Reconstruction Technique to Adapt Management of Severe Group IIB Tanzer Constricted Ear Deformity

Lashin

Shafik

Elshahat

et al. 2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Group IIB constricted ear is described as a deformity of helix, antihelix, and scapha (deficient upper third of ear). The length of the ear is markedly shortened, and the skin cover is insufficient to cover the cartilaginous framework after refashioning. The current study described certain modifications to the known autologous auricular reconstruction technique to adapt specific anatomical features of severe group IIB Tanzer constricted ear and reviewed the postoperative surgical outcomes and complications. It also evaluates the postoperative patient satisfaction. Methods: A prospective study includes 20 patients who underwent modified autologous reconstruction using costal cartilage for unilateral severe grade IIB constricted ears in the period between October 2018 and November 2021. Mean follow-up period was 6 months. Satisfaction was recorded using a questionnaire form 4 months after second-stage surgery. Results: Patients reported excellent (n = 14) and good (n = 7) results. According to a four-point Likert scale, the average aesthetic outcome score was 3.8. No complications were recorded, except in one patient who shows postoperative collection. The helix, concha, and lobule were the most satisfying parts to patients. The least pleasing subunit to patients was the antihelix. All patients were satisfied with the elevation of the auricle. They reported symmetry in size, shape, and position in 14 of 20 (70%) patients. Conclusions: Modified autogenous auricular reconstruction is useful in correcting severe group IIB Tanzer constricted ear deformities. Because it addresses all the anatomical features of this deformity, this technique is reproducible and reliable and has offered consistently effective results.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Modified Reconstruction Technique to Adapt Management of Severe Group IIB Tanzer Constricted Ear Deformity

Lashin

Shafik

Elshahat

et al. 2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…Hence, patients’ subjective impressions are important in the evaluation of outcomes, with satisfaction in appearance and symmetry being the most often assessed. [ 5 , 8 ] Braun et al [ 13 , 14 ] and Marone et al [ 13 , 14 ] utilized the Glasgow Benefit Inventory, a comprehensive measurement of the benefits of otorhinolaryngology involving motion, physical health, learning, vitality, and other psychosocial factors, to detect changes in the health status of patients. Woo et al [ 4 ] reported a quantized measurement of procedural pain, degree of improvement, and overall satisfaction survey.…”

Section: Discussionmentioning

confidence: 99%

“…Surveys of satisfaction, observed symmetry, and appearance were often applied as subjective methods, with anthropometry of the auricle as the objective method. [ 5 , 8 , 9 ] However, these subjective evaluation methods were not all-inclusive and lacked specificity. Objective parameters are mostly measured by calipers and rulers, using the vertical height of the auricle (VHA) as the main index.…”

Section: Introductionmentioning

confidence: 99%

New methods for specialized subjective and high-precision objective evaluation of constricted ears

et al. 2018

View full text Add to dashboard Cite

The effects of therapy on constricted ears are evaluated subjectively and objectively. However, previous methods are not specific, comprehensive, precise, or effective in diagnosing and predicting surgical outcomes. This study aimed to present a personalized, subjective evaluation scale and new objective indices utilizing a digital method for the accurate evaluation of constricted ears.Nine consecutive patients with constricted ears were selected. To perform subjective evaluations, the patients’ parents were contacted by telephone within 3 to 6 months after surgery and asked to answer questions using a scale. To perform objective evaluations, the constricted and normal ears of each patient were scanned using a 3-dimensional scanner before and 14 days after surgery. The vertical height of the auricle (VHA), transverse diameter of the auricle, minimum length of the helix (MLH), length of the inner auricle (LIA), and transverse diameter of the inner auricle were calculated using Mimics software. The Wilcoxon matched pairs signed-rank test was used for data analysis.High satisfaction scores were reported. The folds of the ear and helix had the highest median scores, whereas the crus of the antihelix had the lowest. The difference in LIA and postoperative MLH was greater than that in VHA and preoperative MLH. The mean values of the 5 indices of the normal ear were greater than those of the indices of the preoperative constricted ear (P < .05).The specialized subjective scale reported in this study allows comprehensive and personalized assessment of constricted ears. The new objective indices are more effective than existing methods and the digital measurement method is precise and reliable. These methods will allow the treatment of constricted ears to be better evaluated, leading to improvements in patient management and treatment selection.

show abstract

“…These latter defects are characterized by a short helical length and upper antihelical and Correction of microtia with constriction features using a superficial temporal fascial flap combined with a rib cartilage graft scaphal deficiencies and require supplemental skin for correction. Although various surgical correction methods have been reported as ways to resolve these deformities [2][3][4][5][6][7][8][9][10][11][12][13][14], no consensus has been reached regarding the most appropriate method. As the severity of a constricted ear deformity and the shape of the intact ear vary among individuals, diverse approaches to reconstruction that consider both the ear position and shape are needed to achieve symmetry.…”

Section: Introductionmentioning

confidence: 99%

Correction of microtia with constriction features using a superficial temporal fascial flap combined with a rib cartilage graft

et al. 2020

View full text Add to dashboard Cite

Background Microtia with constricted features is characterized by a short helical length of variable severity, upper antihelical or scaphal deficiency, and a downfolded upper ear. No consensus has been reached regarding the most appropriate surgical method for this condition. In this study, we aimed to introduce a simple and safe surgical method for the correction or reconstruction of upper helix ear deformities.Methods Between February 2011 and June 2014, eight patients with microtia with constricted upper helix ear deformity underwent reconstruction of the ear deformity. The upper ear helical framework was constructed by carving and curving the eighth rib cartilage harvested from the ipsilateral chest wall, covering this cartilage with a superficial temporal fascial flap, and adjusting the skin graft to align with the ear contour. To evaluate their satisfaction, patients were asked to complete a questionnaire regarding ear shape, symmetry, position, color, and overall outcome scored on a 5-point scale at 12 months postoperatively.Results None of the patients experienced severe complications in the reconstructed ear. The preoperative and postoperative vertical ear length ratios were 0.88 and 1.02, respectively. And the mean patient satisfaction scores for shape, symmetry, position, color, and overall outcome were 4.2, 4.5, 4.7, 4.4, and 4.6 out of 5 points, respectively. All patients expressed a high level of satisfaction at 12 months postoperatively.Conclusions Our technique provides a good alternative method for the reconstruction of moderate constricted upper helix ear deformities in patients who meet the surgical indications with satisfactory outcomes and few complications.

show abstract

Tanzer Group IIB Constricted Ear Repair With Helical Advancement and Superior Auricular Artery Chondrocutaneous Flap

Cited by 7 publications

References 9 publications

Modified Reconstruction Technique to Adapt Management of Severe Group IIB Tanzer Constricted Ear Deformity

Modified Reconstruction Technique to Adapt Management of Severe Group IIB Tanzer Constricted Ear Deformity

New methods for specialized subjective and high-precision objective evaluation of constricted ears

Correction of microtia with constriction features using a superficial temporal fascial flap combined with a rib cartilage graft

Contact Info

Product

Resources

About