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Vacuum-Assisted Closure Device as a Suction Tool in First Stage Autologous Auricular Reconstruction
Mina Asaad Sawiris1, Ibrahim Kamel1, Mohamed Samir Badawy1
1Department of Plastic, Burn and Maxillofacial Surgery, Ain Shams University, Ramses Street, Cairo, 11591 Egypt.
Journal of Maxillofacial and Oral Surgery
|July 30, 2026
Summary
Vacuum-assisted closure (VAC) devices improve autologous auricular reconstruction by ensuring better skin flap adherence and contour. This novel approach significantly reduces complications and enhances patient satisfaction compared to traditional suction methods.
Area of Science:
- Plastic Surgery
- Biomedical Engineering
- Regenerative Medicine
Background:
- Autologous auricular reconstruction utilizes costal cartilage frameworks.
- Optimal contouring necessitates close contact between the skin envelope and cartilage.
- Traditional suction drains may fail to maintain consistent negative pressure, impacting outcomes.
Purpose of the Study:
- To evaluate the efficacy of vacuum-assisted closure (VAC) devices as a suction tool in autologous auricular reconstruction.
- To compare VAC device application with traditional syringe suction for improved surgical outcomes.
Main Methods:
- Twenty patients with unilateral microtia underwent costal cartilage graft reconstruction.
- Ten patients received traditional syringe suction; ten used a VAC device for uniform negative pressure.
- Outcome measures included skin flap viability, contour definition, complication rates, and patient satisfaction.
Main Results:
- The VAC group reported significantly higher aesthetic satisfaction (22 ± 1.49) versus syringe suction (18 ± 1.17).
- Complications occurred in 30% of the syringe group (hematoma, necrosis) versus 0% in the VAC group.
- VAC device use improved skin adherence and auricular subunit definition.
Conclusions:
- VAC devices are safe and effective for optimizing autologous auricular reconstruction outcomes.
- The application of VAC devices promotes consistent contouring, reduces complications, and enhances patient satisfaction.
- Further research is recommended to confirm long-term benefits.
