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Surgery of the auricle.

Tuan V Pham¹, Stephen V Early, Stephen S Park

¹Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, USA.

Facial Plastic Surgery : FPS

|May 10, 2003

Summary

Auricular reconstruction addresses congenital ear shape issues and tissue loss. This guide presents an algorithm for selecting techniques like grafts, flaps, and prostheses for effective ear repair.

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Area of Science:

Plastic surgery
Otolaryngology
Aesthetic surgery

Background:

The external ear's aesthetic importance means even minor irregularities are conspicuous.
Auricular reconstruction requires careful consideration of diverse reconstructive options.

Purpose of the Study:

To present a general algorithm for selecting reconstructive techniques for auricular defects.
To cover various methods for repairing congenital abnormalities and tissue loss.

Main Methods:

Discussion of otoplasty for congenital deformities without tissue loss.
Review of techniques for discrete tissue loss, including grafts, framework repair, and local/pedicled flaps.
Inclusion of temporoparietal facial flaps and auricular prostheses.

Main Results:

A structured approach (algorithm) is provided for flap selection.
Comprehensive techniques for various auricular defects are detailed.

Conclusions:

Auricular reconstruction is both a science and an art.
The presented algorithm aids in choosing appropriate methods for auricular repair, from minor deformities to total defects.

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