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[Effectiveness of two-stage operation of auricular reconstruction in treatment of lobule-type microtia]
Meishui Wang1, Biao Wang, Houbing Zheng
1Department of Plastic Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou Fujian 350005, PR China.
Objective:
To investigate the method and effectiveness of two-stage operation of auricular reconstruction in treating lobule-type microtia.
Methods:
Between March 2007 and April 2010, 19 patients (19 ears) of lobule-type microtia were treated. There were 13 males and 6 females, aged 5 to 27 years (mean, 12.6 years). Of 19 patients, 11 were less than or equal to 14 years old. The locations were left ear in 9 cases and right ear in 10 cases. Two-stage operation for auricular reconstruction of lobule-type microtia included fabrication and grafting of the costal cartilage framework at the first-stage operation and the ear elevation operation at the second-stage operation.
Results:
Pseudomonas aeruginosa infection occurred in 1 patient after the first-stage operation, who was not given the second-stage operation. Skin necrosis occurred in 1 patient 8 days after the second-stage operation and healed after symptomatic treatment. Eighteen patients were followed up 6 months to 2 years (mean, 14 months). Retraction of cranioauricular angle and thoracic deformity occurred in 1 patient. The surgical results were satisfactory in the other 17 patients whose reconstructive ear had verisimilar shape and suitable cranioauricular angle.
Conclusion:
Two-stage operation of auricular reconstruction is considered to be an ideal method for lobule-type microtia.
