Avoiding Complications of Microtia and Otoplasty

Abstract

Congenital ear surgery constitutes one of the most challenging reconstructive procedures in plastic surgery secondary to the complex architecture of the auricle and the multiple factors involved in the reconstructive techniques. The most common complications encountered during microtia repair and otoplasty are described. Emphasis is placed on preventing these complications.

Keywords

otoplasty - microtia - complications - prevention

• References

• 1 Tanzer RC. Total reconstruction of the auricle. The evolution of a plan of treatment. Plast Reconstr Surg 1971; 47: 523-533
• 2 Thomson HG, Kim TY, Ein SH. Residual problems in chest donor sites after microtia reconstruction: a long-term study. Plast Reconstr Surg 1995; 95: 961-968
• 3 Tanzer RC. Microtia: A long-term follow-up of 44 reconstructed articles. Plast Reconstr Surg 1978; 61: 161-165
• 4 Kawanabe Y, Nagata S. A new method of costal cartilage harvest for total auricular reconstruction: part I. Avoidance and prevention of intraoperative and postoperative complications and problems. Plast Reconstr Surg 2006; 117: 2011-2018
• 5 Siegert R, Magritz R. Reducing the morbidity involved in harvesting autogenous rib cartilage. Facial Plast Surg 2009; 25: 169-174
• 6 Ohara K, Nakamura K, Ohta E. Chest wall deformities and thoracic scoliosis after costal cartilage graft harvesting. Plast Reconstr Surg 1997; 99: 1030-1036
• 7 Gauglitz GG, Korting HC, Pavicic T, Ruzicka T, Jeschke MG. Hypertrophic scarring and keloids: pathomechanisms and current and emerging treatment strategies. Mol Med 2011; 17: 113-125
• 8 Walton RL, Beahm EK. Auricular reconstruction for microtia: Part II. Surgical techniques. Plast Reconstr Surg 2002; 110: 234-249
• 9 Siegert R, Magritz R. Reducing the morbidity involved in harvesting autogenous rib cartilage. Facial Plast Surg 2009; 25: 169-174
• 10 Uppal RS, Sabbagh W, Chana J, Gault DT. Donor-site morbidity after autologous costal cartilage harvest in ear reconstruction and approaches to reducing donor-site contour deformity. Plast Reconstr Surg 2008; 121: 1949-1955
• 11 Leach Jr JL, Jordan JA, Brown KR, Biavati MJ. Techniques for improving ear definition in microtia reconstruction. Int J Pediatr Otorhinolaryngol 1999; 48: 39-46
• 12 Tollefson TT. Advances in the treatment of microtia. Curr Opin Otolaryngol Head Neck Surg 2006; 14: 412-422
• 13 Reinisch JF, Lewin S. Ear reconstruction using a porous polyethylene framework and temporoparietal fascia flap. Facial Plast Surg 2009; 25: 181-189
• 14 Helling ER, Okoro S, Kim II G, Wang PT. Endoscope-assisted temporoparietal fascia harvest for auricular reconstruction. Plast Reconstr Surg 2008; 121: 1598-1605
• 15 Romo III T, Reitzen SD. Aesthetic microtia reconstruction with Medpor. Facial Plast Surg 2008; 24: 120-128
• 16 Aguilar III EA. Classification of auricular congenital deformities. In Papel ID, Nachlas NE. eds. Facial Plastic and Reconstructive Surgery. St. Louis, MO: Mosby-Year Book; 1992
• 17 Adamson PA, McGraw BL, Tropper GJ. Otoplasty: critical review of clinical results. Laryngoscope 1991; 101: 883-888
• 18 Bauer BS. Reconstruction of microtia and acquired auricular defects. In: Mustardé JC, Jackon IT. eds. Plastic Surgery in infancy and childhood, 3rd ed. Philadelphia, PA: Churchill Livingstone; 2008: 271-302
• 19 Spira M. Otoplasty: what I do now—a 30-year perspective. Plast Reconstr Surg 1999; 104: 834-840 ; discussion 841
• 20 Goode RL, Proffitt SD, Rafaty FM. Complications of otoplasty. Arch Otolaryngol 1970; 91: 352-355
• 21 Bull TR, Mustarde JC. Mustarde technique in otoplasty. Facial Plast Surg 1985; 2: 101
• 22 Farrior RT. Modified cartilage incisions in otoplasty. Facial Plast Surg 1985; 2: 109
• 23 Limandjaja GC, Breugem CC, Mink van der Molen AB, Kon M. Complications of otoplasty: a literature review. J Plast Reconstr Aesthet Surg 2009; 62: 19-27