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An Algorithmic Approach for the Reconstruction of Extended Upper-Third Auricular Soft Tissue Defects
Konstantinos Seretis1, Nikolaos Bounas, Efstathios G Lykoudis
1Department of Plastic Surgery, Medical School, University of Ioannina, Ioannina, Greece.
The Journal of Craniofacial Surgery
|August 30, 2022
Summary
Reconstructing complex ear defects requires careful planning. A transposition flap effectively repaired a significant auricular defect, achieving excellent aesthetic and functional outcomes in a single stage.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Auricular defects present significant reconstructive challenges due to the ear's complex 3D anatomy.
- Reconstruction must balance functional requirements with aesthetic considerations for this prominent facial feature.
Purpose of the Study:
- To present a case of sizable auricular defect reconstruction.
- To explore treatment options and propose a systematic algorithmic approach for upper-third auricular defects.
Main Methods:
- Reconstruction of a soft tissue defect of the helical crus and upper auricle using a transposition flap.
- Exploration of various treatment modalities and development of a decision-making algorithm.
Main Results:
- Successful single-stage reconstruction of the auricular defect.
- Optimal postoperative aesthetic results and high patient satisfaction achieved.
- Avoidance of more complex and prolonged surgical procedures.
Conclusions:
- A transposition flap is an effective method for reconstructing upper-third auricular defects.
- The proposed algorithmic approach provides a systematic and logical strategy for managing these defects.
- This method ensures both functional restoration and superior aesthetic outcomes.
