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Related Experiment Videos

Total ear reconstruction in post burn deformity

P S Bhandari1

  • 1Department of Burns Plastic, Maxillofacial and Microvascular Surgery, Lok Nayak Hospital and Associated Maulana Azad Medical College, New Delhi, India.

Burns : Journal of the International Society for Burn Injuries
|January 9, 1999
PubMed
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Total ear reconstruction after severe burns is challenging due to limited skin. This study presents techniques for total ear reconstruction using various skin coverage methods based on availability.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Burn Reconstruction

Background:

  • Severe thermal injuries often result in complete destruction of the external ear (pinna).
  • Total ear reconstruction presents significant challenges for plastic surgeons due to poor skin quality and quantity in the auricular region.

Purpose of the Study:

  • To present techniques and outcomes for total ear reconstruction in patients with post-burn ear deformities.
  • To categorize patients based on available auricular skin and tailor surgical approaches accordingly.

Main Methods:

  • Patients with total ear loss from burns were classified into five groups based on skin availability.
  • Surgical reconstruction involved draping a cartilage framework using various soft tissue coverage methods: postauricular skin, grafted/scarred skin, postauricular fascia, temporoparietal fascia (pedicled or free), and radial forearm fascial flap.

Related Experiment Videos

  • A temporoparietal fascial flap was preferred when local skin was compromised.

    • Main Results:

    • Seventy-six cases of total ear reconstruction for post-burn deformities were performed over eight years.
    • The choice of surgical technique and skin coverage method varied based on the patient's specific skin availability and quality.

    Conclusions:

    • Successful total ear reconstruction after burns is achievable by adapting surgical strategies to the available auricular skin.
    • The temporoparietal fascial flap serves as a reliable option for covering the cartilage framework when local tissues are inadequate.