The burned ear; possibilities and challenges in framework reconstruction and coverage

Bos, E.J.; Doerga, Priya N.; Breugem, C.C.; Zuijlen, Paul P. M. van

doi:10.1016/j.burns.2016.02.006

Cited by 19 publications

(12 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The common complications that arise are necrosis, exposure, and infection after either expander insertion or ear reconstruction. 11 The complications in our study were mainly small rupture of the expanded flap and exposure of the cartilage bracket. Small rupture of the expanded flap in the late period of expansion is usually caused by the fold of the tissue expander or vigorous inflation.…”

Section: Discussionmentioning

confidence: 64%

Burned Ear Reconstruction Using the Combination of an Expanded Postauricular Scar Skin Flap and a Postauricular Fascial Flap

et al. 2020

View full text Add to dashboard Cite

The external ear is highly vulnerable to burn injury due to its location and thin integument. Reconstruction of the external ear after burns is a major challenge to undertake, and surgeons face many problems, including excessive scar tissue, poor blood supply, a paucity of available skin, and a high infection rate, when designing an operative plan for patients with postburn auricular deformity. In this article, the authors describe their experience of using an expanded postauricular scar flap combined with a postauricular fascial flap as the coverage for the framework for subtotal and total ear reconstruction in 27 burned patients. Four patients developed expander exposure and two developed framework exposure, which were resolved with good results after further repair. After an average follow-up time of 6 months, all of the patients experienced very good cosmetic outcomes, high satisfaction, and low morbidity.

show abstract

Section: Discussionmentioning

confidence: 64%

Burned Ear Reconstruction Using the Combination of an Expanded Postauricular Scar Skin Flap and a Postauricular Fascial Flap

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Therefore, facial scars and auricular deformities severely affect a patient's physical and psychological health and pose a heavy economic burden due to repeated surgeries and long hospitalizations. 2 The methods of using autogenous costal cartilage or porous polyethylene as an ear framework are similar to those for treating congenital microtia, [3][4][5][6] while auricle defects caused by burns remain a tough problem mainly because of the poor blood supply and reduced elasticity of the skin in and around the auricular region. In this study, we introduced our experience with the expanded neck flap in the simultaneous repair of facial scars and auricular deformities for the first time.…”

Section: Introductionmentioning

confidence: 99%

Application of the Expanded Neck Flap for Face and Ear Reconstruction in Burn Patients: A Report on 2 Cases

et al. 2020

View full text Add to dashboard Cite

Reconstruction of auricular deformities and facial scars after burns is a challenging undertaking for surgeons. Excessive scar tissue, a poor blood supply and the paucity of available skin are all substantial difficulties that should be considered before the operation. Expanded neck flaps provide comparatively larger and thinner flaps for the simultaneous treatment of auricular deformities and facial scars in burn patients. In this article, the authors introduced the use of an expanded neck flap as coverage tissue for ear reconstruction and face resurfacing in 2 burn patients. The operation consisted of 3 stages. In the first stage, the expander was implanted subcutaneously under the skin of the neck to create adequate skin and soft tissue. In the second stage, the expander was removed, and the expanded flap was transferred to cover defects on the auricle and face. The third operation to repair the reconstructed ear and thick flap could be performed according the willingness of the patients and surgeons. Esthetically satisfactory results were achieved in both of the patients. The flaps survived completely, and the skin color, texture, and flexibility were well matched to those of the peripheral tissue. Six months postoperatively, the flaps did not shrink, and subsequent contractures did not recur. Both of the patients experienced high satisfaction, and no adverse effects were detected.

show abstract

“…2 Tissue engineering alternatives, although promising, remain elusive at this time. 3 Although osseointegrated implants provide a viable alternative to the use of autologous tissues, they are an imperfect solution due to discrepancies in likeness to donor skin and require replacement with time. 4 Therefore, surgeons have begun to explore alternative avenues in select patients with extensive composite tissue defects.…”

Section: Introductionmentioning

confidence: 99%

“…The ears are particularly vulnerable to thermal injury, and auricular reconstruction remains a significant challenge in burn‐related care . Tissue engineering alternatives, although promising, remain elusive at this time . Although osseointegrated implants provide a viable alternative to the use of autologous tissues, they are an imperfect solution due to discrepancies in likeness to donor skin and require replacement with time .…”

Section: Introductionmentioning

confidence: 99%

Otologic considerations in a full face transplant recipient

Cammarata¹,

Jethanamest

Rodriguez³

2018

The Laryngoscope

View full text Add to dashboard Cite

Facial transplantation provides a functional and aesthetic solution to severe facial disfigurement previously unresolved by conventional reconstruction. Few facial allografts have been ear containing; hence, there is limited knowledge of the postoperative otologic considerations. We describe the case of a 44‐year‐old man who underwent transplantation of the total face, eyelids, ears, scalp, and skeletal subunits in 2015 after an extensive thermal injury. We detail the patient's transition from osseointegrated prosthetic ears to an ear‐containing facial allograft, and describe the unique surgical approach and challenges encountered. Subsequent bilateral revision meatoplasties were performed, which provided relief from stenosis of the external auditory meatus. Laryngoscope, 129:2008–2011, 2019

show abstract

The burned ear; possibilities and challenges in framework reconstruction and coverage

Cited by 19 publications

References 86 publications

Burned Ear Reconstruction Using the Combination of an Expanded Postauricular Scar Skin Flap and a Postauricular Fascial Flap

Burned Ear Reconstruction Using the Combination of an Expanded Postauricular Scar Skin Flap and a Postauricular Fascial Flap

Application of the Expanded Neck Flap for Face and Ear Reconstruction in Burn Patients: A Report on 2 Cases

Otologic considerations in a full face transplant recipient

Contact Info

Product

Resources

About