Total Auricular Reconstruction Using a Single Extended Postauricular Flap Without Skin Grafting in Two Stages: Experiences of 106 Cases

Chen, Qi; Zhang, Jiao; Wang, Bingqing; Wang, Yue; Kang, Chunyu; Zhang, Qingguo

doi:10.1007/s00266-019-01459-6

Cited by 17 publications

(17 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Under the condition of ensuring sufficient support, a better auriculocephalic sulcus can be achieved. Compared with other single expanded flap reconstruction methods 15,16 using residual ear cartilage to form the tragus, we select the remaining seventh cartilage, which forms the tragus with higher supportability and stronger structure to resistant the skin recession, and has more natural shapes.…”

Section: Discussionmentioning

confidence: 99%

A novel two-stage strategy combing tissue expansion and Nagata`s technique for total auricular reconstruction

Wang

Guo

et al. 2021

Journal of Plastic, Reconstructive & Aesthetic Surgery

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

A novel two-stage strategy combing tissue expansion and Nagata`s technique for total auricular reconstruction

Wang

Guo

et al. 2021

Journal of Plastic, Reconstructive & Aesthetic Surgery

Self Cite

View full text Add to dashboard Cite

“…In fact, from an anatomical point of view, the ear is characterized by an elastic cartilage framework surrounded by a thin layer of skin fixed to the perichondrium, with no subcutaneous tissue in between in the anterior part and a millimetric layer in the posterior one (Siegert & Magritz, 2019). Because of the complexity of reconstruction, the need for different type of tissue and the lack of local tissue from proximity, auricular reconstruction is traditionally a multistaged approach (Chen et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Skin grafts, typically combined with local adipofascial flap (e.g., fascia temporalis flap) require a secondary donor site morbidity and may induce alopecia and scarring (Firmin, 1998). The use of a pre‐expanded post‐auricular flap is common but requires multiple surgical interventions and increased reconstruction time and costs (Chen et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Alternatively, the use of alloplastic implants (e.g., porous polyethylene) has been spreading over the last years, to avoid donor site morbidity (Braun et al, 2010). Ideally, the graft should be covered with thin and pliable skin tissue from proximity (e.g., mastoid skin flaps), providing a “ like with like ” stable tissue replacement, with good color and texture match (Chen et al, 2020). However, skin flaps are generally limited in size and may need pre‐expansion.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The periosteal‐cutaneous chimeric medial femoral condyle free flap for subtotal ear reconstruction: A case report

et al. 2020

View full text Add to dashboard Cite

When costal graft is contraindicated or refused by the patient, autologous total/subtotal auricular reconstruction represent a real challenge as limited surgical options has been described. Aim of present report is to offer a novel possible autologous reconstruction of the ear frame using a chimeric free medial femoral condyle (MFC) flap. We present a case of a 29 years old patient who had total loss of the upper 2/3

show abstract

“…Tissue expansion is currently one of the most popular techniques for ear reconstruction. In a previously published study, our center presented the process and performance of a novel 2-stage strategy, which combined tissue expansion and Nagata's technique, for total ear reconstruction (20). In the present study, we will discuss this strategy further, in particular, the incision and flap design.…”

Section: Introductionmentioning

confidence: 96%

Incision and flap design during total auricular reconstruction using a 2-stage strategy

Ou¹,

Cao²,

Zhang³

et al. 2021

Ann Transl Med

Self Cite

View full text Add to dashboard Cite

Background: Total auricular reconstruction is a challenge for plastic surgeons. Expanded flap method and Nagata's method with autologous costal cartilage are two leading techniques for ear reconstruction. And a two-stage strategy of expanded flap method received attention. In the present study, we report the incision and flap design of this strategy.Methods: In the first stage, an 80 mL kidney-shaped expander was inserted in the mastoid region with the larger pole superiorly. The expander pocket was dissected subcutaneously in the scalp area and subfascially in the lower third region. In the second stage, the expander was removed from a Y-shaped lobule incision on the remanent ear. Then the remnant ear was separated into three flaps: the posterior skin flap, anterior skin flap, and lobule flap. When the framework was fabricated, the base frame and the underlying pad, which enhanced the projection, were fixed together as a whole to provide a more prominent appearance. The framework was totally wrapped into the expanded single flap without free skin grafting. Lobule transposition and tragus construction were performed simultaneously instead of a third-stage surgery. The recipient bed of rotated lobule was resected only to the epidermal layer and the subcutaneous layer was preserved to avoid central necrosis.Results: A total of 21 patients received this strategy to reconstruct ear. With 3 months to 1.5 years of follow-up, 19 patients (90.5%) were satisfied with the reconstructed ears. 3 patients (14.3%) required further modification of reconstructed ear. No serious complications occurred during the procedures.Conclusions: With a Y-shaped incision, three-flap design of remanent ear and lobule rotation to an epidermal-removal area, tissue expander removal and modification of remanent ear can be performed effectively to avoid necrosis and an extra operation.

show abstract

Total Auricular Reconstruction Using a Single Extended Postauricular Flap Without Skin Grafting in Two Stages: Experiences of 106 Cases

Cited by 17 publications

References 16 publications

A novel two-stage strategy combing tissue expansion and Nagata`s technique for total auricular reconstruction

A novel two-stage strategy combing tissue expansion and Nagata`s technique for total auricular reconstruction

The periosteal‐cutaneous chimeric medial femoral condyle free flap for subtotal ear reconstruction: A case report

Incision and flap design during total auricular reconstruction using a 2-stage strategy

Contact Info

Product

Resources

About