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A single-stage two-flap method of total ear reconstruction
1Department of Plastic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Plastic and Reconstructive Surgery
|September 1, 1991
Summary
This study introduces a novel single-stage surgical technique for total ear reconstruction in congenital microtia. The two-flap method utilizes vascularized flaps and autologous cartilage for improved aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Regenerative Medicine
Background:
- Congenital microtia requires complex surgical reconstruction.
- Existing methods may involve multiple stages or less optimal aesthetic results.
Purpose of the Study:
- To report a single-stage, two-flap surgical method for total ear reconstruction in congenital microtia.
- To adapt and refine the Song and Song one-stage reconstruction technique.
Main Methods:
- Elevation of two vascularized flaps (superficial skin and deep fascial) in the mastoid area.
- Insertion of an exaggeratedly carved autologous rib cartilage framework between the flaps.
- Simultaneous creation of auriculocephalic angle and conchal wall.
- Intraoperative skin flap expansion and postoperative external ear molding.
Main Results:
- Successful single-stage total ear reconstruction achieved.
- The technique facilitates simultaneous creation of key ear structures.
- Aesthetic ear reconstruction with pleasing results was obtained.
Conclusions:
- The single-stage, two-flap method offers an effective approach for total ear reconstruction in congenital microtia.
- This technique provides simultaneous correction of auriculocephalic angle and conchal wall.
- Combined with flap expansion and molding, it yields aesthetically superior outcomes.