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Two stage correction of the constricted ear. Case report
1Department of Plastic Surgery, Sahlgrenska Hospital, University of Göteborg, Sweden.
Summary
A two-stage surgical repair effectively reconstructed a constricted ear (Tanzer type 2B) in a young girl. The procedure resulted in good cosmetic outcomes and symmetrical ears.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Pediatric Surgery
Background:
- Constricted ear, specifically Tanzer type 2B, presents a significant cosmetic challenge.
- Early intervention and staged reconstruction are crucial for optimal outcomes in pediatric ear deformities.
Observation:
- A 3-year-old female presented with a right-sided constricted ear (Tanzer type 2B).
- The initial stage involved surgically opening the helix.
- A second stage at age 17 reconstructed the helical fold using a bipedicled tube flap under local anesthesia.
Findings:
- The two-stage surgical approach yielded a good cosmetic result.
- Post-operative symmetry was achieved between the reconstructed ear and the contralateral ear.
Implications:
- This case highlights the efficacy of a staged surgical approach for complex ear deformities.
- The technique offers a viable solution for improving both form and function in patients with constricted ears.
- Successful reconstruction can significantly enhance patient self-esteem and quality of life.