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Microtia repair
1Division of Otolaryngology-Head & Neck Surgery, University of Rochester Medical Center, New York 14607, USA.
Facial Plastic Surgery : FPS
|October 1, 1995
Summary
This study details a four-stage surgical approach for microtia reconstruction using autologous cartilage and skin. The method aims for patient satisfaction, proper ear positioning, and aesthetic contour, adapting to unique patient challenges.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Biomedical Engineering
Background:
- Microtia reconstruction presents significant challenges for reconstructive surgeons.
- Autologous cartilage and skin grafts are the preferred method for total auricular reconstruction.
- Established techniques, modified from Tanzer and Brent, guide the process.
Purpose of the Study:
- To achieve patient satisfaction through auricular reconstruction.
- To ensure proper anatomical positioning of the reconstructed ear.
- To obtain a pleasing size and contour of the auricle.
Main Methods:
- A four-stage surgical process involving autologous rib cartilage framework creation.
- Lobule repositioning, creation of the auriculocephalic angle with a skin graft, and tragus formation.
- Adaptation of techniques for atypical microtia, including consideration of temporoparietal fascia flaps for skin shortage.
Main Results:
- Successful auricular reconstruction leads to high patient satisfaction.
- The described four-stage method provides a framework for achieving desired aesthetic and functional outcomes.
- Flexibility in the approach accommodates unique patient factors like hairline position and skin availability.
Conclusions:
- Adherence to established principles of total auricular reconstruction is key to successful outcomes.
- The described method offers a reliable approach for managing both classic and atypical microtia.
- Patient, family, and surgeon satisfaction are achievable goals in microtia repair.