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Total reconstruction of the auricle after traumatic amputation
1Plastic Surgery Service, University of Taubaté Hospital, Taubaté, Brazil.
Plastic and Reconstructive Surgery
|November 1, 1994
Summary
This study presents a novel auricular replantation technique for traumatic ear amputation, detailing methods to overcome common challenges and achieve successful reconstruction. The approach ensures cartilage survival and aesthetic restoration.
Area of Science:
- Reconstructive Surgery
- Plastic Surgery
- Otolaryngology
Background:
- Traumatic amputation of the auricle presents significant reconstructive challenges.
- Existing auricular replantation techniques often face difficulties with cartilage survival and aesthetic outcomes.
Observation:
- A novel technique involved preserving anterior conchal skin with multiple cartilage perforations for nutrition.
- The remaining auricular cartilage was covered using a mastoid skin flap.
- A secondary procedure involved freeing the retro-auricular region and applying a supraclavicular skin graft.
Findings:
- The described auricular replantation method demonstrated satisfactory results in a clinical case.
- Key technical details and strategies to avoid common pitfalls were successfully implemented.
- The technique facilitated successful revascularization and coverage of the auricular cartilage.
Implications:
- This technique offers a viable solution for auricular reconstruction following traumatic amputation.
- The method addresses critical aspects of cartilage viability and aesthetic coverage.
- Further investigation into contraindications and broader applicability is warranted.