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Aesthetic surgery for microtia.

P Boudard1, C Benassayag, R S Dhillon

  • 1Clinique Universitaire d'ORL de Bordeaux, France.

Archives of Oto-Rhino-Laryngology
|January 1, 1989
PubMed
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This study details a surgical technique for reconstructing the external ear using costal cartilage grafts. The method involves multiple stages and is ideal for children around age seven.

Area of Science:

  • Plastic and Reconstructive Surgery
  • Otolaryngology
  • Pediatric Surgery

Background:

  • Congenital ear deformities require effective reconstructive solutions.
  • Autogenous costal cartilage grafting is a well-established method for auricular reconstruction.

Purpose of the Study:

  • To describe a detailed surgical technique for external ear reconstruction.
  • To outline the staged procedures and ideal patient age for optimal outcomes.

Main Methods:

  • Utilizing an autogenous costal cartilage graft placed in a dissected cutaneous pocket.
  • Performing sequential procedures including ear-lobe rotation, tragus reconstruction, and auricle elevation.
  • Addressing skin deficiencies with temporo-parietal fascial flaps or skin expanders.

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Main Results:

  • The described technique allows for comprehensive external ear reconstruction.
  • Successful outcomes are achievable with staged surgical interventions.
  • The method is adaptable to varying degrees of skin deficiency.

Conclusions:

  • This multi-stage costal cartilage graft technique provides a reliable method for ear reconstruction.
  • Early intervention around age seven is recommended for optimal results.
  • The technique, refined by Brent, offers a robust solution for auricular deformities.