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Injury Patterns and Reconstruction in Acquired Ear Deformities
Kenneth Stewart1, Ewa Majdak-Paredes1
1Department of Plastic Surgery, St John's Hospital, Howden Livingston, United Kingdom.
Facial Plastic Surgery : FPS
|December 16, 2015
Summary
Autologous auricular reconstruction effectively treats acquired ear deformities from bites and trauma. This safe procedure offers aesthetic improvements and enhances quality of life, with prosthetics an option for some patients.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Ear trauma results in varied deformities requiring tailored reconstruction.
- Acquired ear deformities present unique challenges in achieving aesthetic and functional restoration.
Purpose of the Study:
- To analyze outcomes of auricular reconstruction in acquired ear deformities.
- To establish principles for managing traumatic ear injuries and deformities.
Main Methods:
- Retrospective analysis of 117 patients with ear trauma (human/animal bites, revision otoplasty).
- Evaluation of management options: no reconstruction, silicone prosthesis, or autologous reconstruction.
- Detailed review of autologous techniques using costal or conchal cartilage.
Main Results:
- Autologous reconstruction was chosen by 50% of human bite and 62% of animal bite patients.
- Costal cartilage framework was used in 95% of autologous reconstructions.
- 12% of revision otoplasty patients required autologous reconstruction.
Conclusions:
- Autologous auricular reconstruction is safe and yields aesthetically pleasing results for traumatic ear injuries.
- The procedure improves quality of life despite comorbidities.
- Prosthetic camouflage is a common choice for elderly patients.
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