Related Experiment Video
Updated: May 29, 2026
12:18
A Murine Model of a Burn Wound Reconstructed with an Allogeneic Skin Graft
Published on: August 8, 2020
[Reconstruction of the burned ear]
1Clinique Bizet, 21, rue Georges-Bizet, 75116, Paris, France. francoisefirmin@damma.org
Annales De Chirurgie Plastique Et Esthetique
|September 23, 2011
Summary
Reconstructing burned ears involves a staged approach using autologous cartilage. Skin coverage options include mastoid skin, superficial temporal fascia (STF), or expansion, prioritizing mastoid skin integrity for best outcomes.
Area of Science:
- Plastic surgery
- Otolaryngology
- Burn reconstruction
Context:
- Burned ears present complex reconstructive challenges.
- Neglecting treatment of ear deformities post-burn can lead to significant functional and aesthetic issues.
- A structured therapeutic algorithm is essential for managing diverse burn scenarios affecting the external ear.
Purpose:
- To detail surgical scenarios and present a therapeutic algorithm for burned ear reconstruction.
- To evaluate a two-stage surgical technique utilizing autologous cartilage frameworks.
- To identify prognostic factors and optimal reconstructive options for post-burn ear deformities.
Summary:
- A two-stage technique using autologous cartilage frameworks covered by mastoid skin, superficial temporal fascia (STF), or indirect skin expansion was employed in 134 patients (178 ears) from 1984-2011.
- Costal cartilage is ideal for significant substance loss (>1/4 pavilion or >2 plans).
- Mastoid skin integrity is the primary prognostic factor; STF and indirect expansion are secondary options, with prostheses as a last resort.
Impact:
- Provides a comprehensive algorithm for managing burned ear deformities.
- Highlights the importance of tissue availability (mastoid skin, STF) in reconstructive planning.
- Emphasizes the need for specialized teams trained in microtia and post-traumatic reconstruction for optimal rehabilitation outcomes.
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