Treatment options for partial auricle reconstruction: a prospective study of outcomes and patient satisfaction

Habiba, Nazia Umme; Khan, Arshad Hafeez; Khurram, Mohammed Fahud; Khan, Mohammed Kamran

doi:10.12968/jowc.2018.27.9.564

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…35 The simple technique maintains auricular detail while delivering an excellent cosmetic and functional result. 36,37 The temporoparietal fascial flap is the ideal tissue source for repair due to the large vessels, lack of bulk, and ability to drape over skeletal framework, though the radial forearm flap, retroauricular transposition flap, and the Limberg flap have been utilized. [38][39][40][41][42] The flaps also have the potential to be sandwiched, eliminating the need for a distant skin graft, and if microvascular anastomosis is not possible.…”

Section: Discussionmentioning

confidence: 99%

Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature

Favede

Bradshaw

Sethia

et al. 2022

Ann Otol Rhinol Laryngol

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Introduction: Near-total ear avulsion is a rare and challenging problem to repair with many techniques described; primary repair is an attractive option but is not always successful. Healing may be augmented with postoperative hyperbaric oxygen therapy (HBOT), but this technique is under-reported, and an ideal regimen is not known. The study objective is to discuss the role of HBOT in the management of ear avulsion by reviewing 2 unique cases. Methods: Case report and review of the literature. A Pubmed search using the terms ear avulsion and postoperative hyperbaric oxygen was performed. Results: Two pediatric patients presented with near-total avulsion of the auricle after suffering a dog bite. Various management options were discussed including observation, primary repair, post-auricular cartilage banking, graft reconstruction with periauricular tissue or rib cartilage, or microsurgical replantation. The decision was made to perform primary reattachment, followed by adjuvant hyperbaric oxygen therapy (HBOT). The patients achieved favorable esthetic results and continue to maintain the function of the reattached ear. Photo documentation was obtained throughout the process. Discussion: There is no consensus on the management of near-total ear avulsion. Primary repair is ideal from a cosmetic and ease-of-operation standpoint but does not always yield viable tissue. The use of postoperative HBOT is an attractive option that may boost success rates, but the ideal HBOT regimen is unknown. These cases represent a successful application of this innovative technique in a pediatric patient.

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Section: Discussionmentioning

confidence: 99%

Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature

Favede

Bradshaw

Sethia

et al. 2022

Ann Otol Rhinol Laryngol

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“…Other modalities stated in the literature include auricular grafts, postauricular skin flaps, temporal fascial flaps, and tissue expanders with cartilage grafts. [8][9][10] These are, however, complicated procedures requiring multistage reconstructions.…”

Section: Locationmentioning

confidence: 99%

External Ear Reconstruction By Antia-Buch Chondro-Cutaneous Advancement Flap in a Case of Human Bite – A Case Report

Gulreez¹,

Abdelhamid²,

Louri³

2022

JBMS

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Reconstruction of the external ear is a challenging problem encountered by plastic surgeons. Causes of external ear deformities can be of various etiologies (human bites, animal bites, fights, burns, infections, accidents, or even sports injuries). Full-thickness defects, which cannot be treated by approximating the wound edges, show good results with Antia-Buch’s chondro-cutaneous flaps. A 34-year-old male presented with a history of human bite to his right external ear. The patient had brought the amputated part with him. There was complete amputation of the superior part of the helix with exposed cartilage with a 2 cm defect on examination. The amputated part was an unhealthy crushedavulsed tissue. The patient underwent debridement and washout. Reconstruction of the external ear was done by Antia-Buch helical advancement flap designed over the posterior skin. Post-operatively, the external ear reconstruction yielded good cosmetic results. Animal or human bite defects used to be left open for fear of severe infections, and closure was planned later, but this can be complicated by fibrosis and can result in a change in the shape of the external ear. Primary repair using an Antia-Buch flap and appropriate antibiotic treatment shortens the hospital stay and dressing changes and improves the cosmetic outcome. Keywords: Amputation, Cartilage, External ear, Fibrosis, Human Bite, Reconstructive Surgical Procedures

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Reconstruction of Middle-Third Helical Traumatic Defects With a Two-Stage Approach: Retroauricular Flap and Costal Graft

Salmerón‐González

García‐Vilariño

Pérez‐García

et al. 2020

Plastic Surgical Nursing

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Treatment options for partial auricle reconstruction: a prospective study of outcomes and patient satisfaction

Cited by 3 publications

References 23 publications

Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature

Near-Total Ear Avulsion Repaired With Primary Closure and Hyperbaric Oxygen: A Case Series and Review of the Literature

External Ear Reconstruction By Antia-Buch Chondro-Cutaneous Advancement Flap in a Case of Human Bite – A Case Report

Reconstruction of Middle-Third Helical Traumatic Defects With a Two-Stage Approach: Retroauricular Flap and Costal Graft

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