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Ear Reconstruction for Auricle Defects Using an Expanded Neck Flap: A Case Report.

Huiming She1, Xin Chen1, Gaofeng Li1

  • 1Department of Plastic & Laser Cosmetology, The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, Changsha, China.

Ear, Nose, & Throat Journal
|October 13, 2024
PubMed
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This case report details successful ear reconstruction for a burn deformity using an expanded neck flap and rib cartilage. This technique offers a viable solution for patients with limited postauricular flap options, achieving realistic form and function.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Burn Reconstruction

Background:

  • Ear deformities can result from severe burns, significantly impacting aesthetics and function.
  • Traditional reconstructive methods may be limited by scar tissue and flap availability, particularly in burn patients.
  • The postauricular flap is a common choice for ear reconstruction, but its use can be compromised by prior burn injury.

Purpose of the Study:

  • To describe a novel three-stage ear reconstruction technique for a patient with a long-standing burn deformity.
  • To evaluate the efficacy of using an expanded neck flap combined with autologous rib cartilage for ear reconstruction.
  • To highlight an alternative reconstructive option for patients with limited postauricular flap availability.

Main Methods:

Keywords:
auricle defectear reconstructionexpanded neck flap

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  • A three-stage surgical approach was employed, involving initial tissue expander implantation and gradual expansion.
  • Autologous rib cartilage was harvested to create the ear framework.
  • An expanded neck flap was utilized for framework coverage and ear reconstruction, followed by detailed surgical repair stages.

    • Main Results:

    • The ear reconstruction achieved satisfactory healing with minor complications after a 1-year follow-up.
    • The reconstructed ear exhibited a realistic shape and maintained functional integrity.
    • Significant improvement was observed in scar repair and reduction of scarred alopecia.

    Conclusions:

    • Expanded neck flaps represent a superior reconstructive option for ear deformities, especially in burn patients with limited postauricular flap availability.
    • This technique provides a viable alternative for achieving aesthetically pleasing and functional ear reconstruction.
    • The described method demonstrates successful management of complex ear deformities resulting from flame burns.