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DOI: 10.1055/s-0031-1288916
Partial Auricular Reconstruction
Publication History
Publication Date:
20 October 2011 (online)
ABSTRACT
The authors summarize current methods for reconstructing partial auricular defects resulting from trauma, neoplasm, or congenital defects. They also review the anatomy and embryology of the ear as this is critical for proper reconstruction. Defects of the auricle are divided into upper-third, middle-third, and lower-third defects. Methods of total auricular reconstruction are also briefly discussed as these methods can provide more superior reconstruction than partial techniques in select cases.
KEYWORDS
Auricular reconstruction - auricular defects - helical reconstruction - lobule reconstruction
REFERENCES
- 1 Cheney M L, Hadlock T A, Quatela V C. Reconstruction of the auricle. In: Baker S R, ed. Local Flaps in Facial Reconstruction. Edinburgh: Elsevier Mosby; 2007: 581-624
- 2 Park S S, Hood R J. Auricular reconstruction. Otolaryngol Clin North Am. 2001; 34 (4) 713-738 v-vi
- 3 Murakami C S, Quatela V C. Reconstruction surgery of the ear: Microtia reconstruction. In: Cummings C W, Flint P W, Harker L A, Haughey B H, Richardson M A, eds. Cummings Otolaryngology Head & Neck Surgery. St. Louis: Mosby Inc; 2004: 4422-4438
- 4 Kelley P E, Scholes M A. Microtia and congenital aural atresia. Otolaryngol Clin North Am. 2007; 40 (1) 61-80 vi
- 5 Adamson P A, Doud Galli S K. Otoplasty. In: Cummings C W, Flint P W, Harker L A, Haughey B H, Richardson M A, eds. Cummings Otolaryngology Head & Neck Surgery. Philadelphia: Mosby Inc; 2004: 853-861
- 6 Farkas L G. Anthropometry of the normal and defective ear. Clin Plast Surg. 1990; 17 (2) 213-221
- 7 Stucker F J, Sanders K W. A method to repair auricular defects after perichondrial cutaneous grafting. Laryngoscope. 2002; 112 (8 Pt 1) 1384-1386
- 8 Patterson A R, Brady G, Walker P D, Telfer M R. The perichondrial cutaneous graft and “flip-flop” flap in facial reconstruction: a series of 41 cases. Br J Oral Maxillofac Surg. 2008; 46 (2) 114-118
- 9 Dessy L A, Figus A, Fioramonti P, Mazzocchi M, Scuderi N. Reconstruction of anterior auricular conchal defect after malignancy excision: revolving-door flap versus full-thickness skin graft. J Plast Reconstr Aesthet Surg. 2010; 63 (5) 746-752
- 10 Ferri M. Treatment of partial losses of the helix. Plast Reconstr Surg. 1998; 101 (7) 2011-2012
- 11 Antia N H, Buch V I. Chondrocutaneous advancement flap for the marginal defect of the ear. Plast Reconstr Surg. 1967; 39 (5) 472-477
- 12 Majumdar A, Townend J. Helix rim advancement for reconstruction of marginal defects of the pinna. Br J Oral Maxillofac Surg. 2000; 38 (1) 3-7
- 13 Ellabban M G, Maamoun M I, Elsharkawi M. The bi-pedicle post-auricular tube flap for reconstruction of partial ear defects. Br J Plast Surg. 2003; 56 (6) 593-598
- 14 Dujon D G, Bowditch M. The thin tube pedicle: a valuable technique in auricular reconstruction after trauma. Br J Plast Surg. 1995; 48 (1) 35-38
- 15 Park C, Chung S. A single-stage two-flap method for reconstruction of partial auricular defect. Plast Reconstr Surg. 1998; 102 (4) 1175-1181
- 16 Ruder R O. Injuries of the pinna. In: Gates G A, ed. Current Therapy in Otolaryngology: Head and Neck Surgery. Philadelphia: Mosby; 1994: 127-131
- 17 van der Lei B, Spronk C A. Reconstruction of non-marginal ear defect by a postauricular wedge transposition flap. Br J Plast Surg. 1998; 51 (1) 14-16
- 18 Donelan M B. Conchal transposition flap for postburn ear deformities. Plast Reconstr Surg. 1989; 83 (4) 641-654
- 19 Yotsuyanagi T, Nihei Y, Sawada Y. Reconstruction of defects involving the upper one-third of the auricle. Plast Reconstr Surg. 1998; 102 (4) 988-992
- 20 Dagregorio G, Darsonval V. Peninsular conchal axial flap to reconstruct the upper or middle third of the auricle. Dermatol Surg. 2005; 31 (3) 350-355 discussion 355
- 21 Maral T, Borman H. Reconstruction of the upper portion of the ear by using an ascending helix free flap from the opposite ear. Plast Reconstr Surg. 2000; 105 (5) 1754-1757
- 22 Oztürk S, Sengezer M, Zor F. Reconstruction of acquired partial auricular defects by porous polyethylene implant and superficial temporoparietal fascia flap in adult patients. Plast Reconstr Surg. 2006; 118 (6) 1349-1357
- 23 Ruder R O. Congenital auricular deformities. In: Papel J, Frodel J, Holt G R, et al, eds. Facial Plastic and Reconstructive Surgery. 3rd ed. New York: Thieme Medical Publishing; 2009: 1043-1047
- 24 Ruder R O. Microtia reconstruction. In: Papel I, Nichlas N, eds. Facial Plastic Surgery. Philadelphia: Mosby; 1992
- 25 Ruder R O. Congenital malformation of the auricle. In: Papel I, Frodel J, Holt G R, et al, eds. Facial Plastic and Reconstructive Surgery. 2nd ed. New York: Thieme Medical Publishing; 2003
Bob B ArminM.D.
Division of Head and Neck Surgery, UCLA Medical Center Head & Neck Surgery, David Geffen School of Medicine at UCLA
10833 Le Conte AVE #62-132 CHS, Los Angeles, CA 90095-1624
Email: barmin@ucla.edu