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Facial Plast Surg 2014; 30(02): 183-193
DOI: 10.1055/s-0034-1371907
DOI: 10.1055/s-0034-1371907
Auricular Reconstruction: Surgical Innovations, Training Methods, and an Attempt for a Look Forward
Further Information
Publication History
Publication Date:
08 May 2014 (online)
![](https://www.thieme-connect.de/media/fps/201402/lookinside/thumbnails/10.1055-s-0034-1371907-1.jpg)
Abstract
The construction of an auricle from autologous tissue is highly complex and demanding for a reconstructive surgeon. Depending on the characteristics of the underlying malformation, there are various surgical techniques available, which in specialized hands, promise regularly achievable attractive and stable results. To achieve this goal, a long-term training in super specialized centers is required. Training models available today, can partially systematize this training. The future of auricular reconstruction lies probably in the tissue engineering of organ complexes, including their nerve and vascular supply.
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References
- 1 Tanzer RC. Total reconstruction of the external ear. Plast Reconstr Surg Transplant Bull 1959; 23 (1) 1-15
- 2 Brent B. Ear reconstruction with an expansile framework of autogenous rib cartilage. Plast Reconstr Surg 1974; 53 (6) 619-628
- 3 Brent B. Auricular repair with autogenous rib cartilage grafts: two decades of experience with 600 cases. Plast Reconstr Surg 1992; 90 (3) 355-374 , discussion 375–376
- 4 Brent B. Technical advances in ear reconstruction with autogenous rib cartilage grafts: personal experience with 1200 cases. Plast Reconstr Surg 1999; 104 (2) 319-334 , discussion 335–338
- 5 Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg 1993; 92 (2) 187-201
- 6 Nagata S. Modification of the stages in total reconstruction of the auricle: Part I. Grafting the three-dimensional costal cartilage framework for lobule-type microtia. Plast Reconstr Surg 1994; 93 (2) 221-230 , discussion 267–268
- 7 Nagata S. Modification of the stages in total reconstruction of the auricle: Part II. Grafting the three-dimensional costal cartilage framework for concha-type microtia. Plast Reconstr Surg 1994; 93 (2) 231-242 , discussion 267–268
- 8 Nagata S. Modification of the stages in total reconstruction of the auricle: Part III. Grafting the three-dimensional costal cartilage framework for small concha-type microtia. Plast Reconstr Surg 1994; 93 (2) 243-253 , discussion 267–268
- 9 Nagata S. Modification of the stages in total reconstruction of the auricle: Part IV. Ear elevation for the constructed auricle. Plast Reconstr Surg 1994; 93 (2) 254-266 , discussion 267–268
- 10 Firmin F. Ear reconstruction in cases of typical microtia. Personal experience based on 352 microtic ear corrections. Scand J Plast Reconstr Surg Hand Surg 1998; 32 (1) 35-47
- 11 Firmin F. State-of-the-art autogenous ear reconstruction in cases of microtia. Adv Otorhinolaryngol 2010; 68: 25-52
- 12 Firmin F, Marchac A. A novel algorithm for autologous ear reconstruction. Semin Plast Surg 2011; 25 (4) 257-264
- 13 Weerda GH. Retention elements for external ear epitheses [in German]. HNO 1972; 20 (3) 83-86
- 14 Weerda H. Unsere Erfahrungen mit der Chirurgie der Ohrmuschelmißbildungen. Teil I: Die Chirurgie der einfachen Mißbildungen. Laryngorhinootologie 1982; a; 61: 346-349
- 15 Weerda H. Unsere Erfahrungen mit der Chirurgie der Ohrmuschelmißbildungen. Teil II: Die Chirurgie der Makrotie und des Tassenohres. Laryngorhinootologie 1982; b; 61 (7) 350-353
- 16 Weerda H. Unsere Erfahrungen mit der Chirurgie der Ohrmuschelmißbildungen. Teil III: Das „Miniohr“ und das stark deformierte Tassenohr. Laryngorhinootologie 1982; c; 61 (9) 493-496
- 17 Weerda H. Unsere Erfahrungen mit der Chirurgie der Ohrmuschelmißbildungen. Teil IV: Die Mikrotie. Laryngorhinootologie 1982; d; 61 (9) 497-500
- 18 Weerda H, Siegert R. Classification and treatment of auricular malformations. Face 1995; b; 4: 23-29
- 19 Weerda H, Siegert R. Classification and treatment of acquired deformities. Face 1998; f; 6: 79-82
- 20 Siegert R, Weerda H. Modifications in auricular reconstruction. In: Weerda H, Siegert R, , eds. Auricular and Middle Ear Malformations, Ear Defects and their Reconstruction. The Hague, The Netherlands: Kugler Publications; 1998. h;
- 21 Siegert R, Weerda H. Two-step external ear canal construction in atresia as part of auricular reconstruction. Laryngoscope 2001; 111 (4, Pt 1) 708-714
- 22 Siegert R, Magritz R. Reconstruction of the external ear [in German]. Laryngorhinootologie 2007; 86 (Suppl. 01) S121-S140
- 23 Siegert R, Weerda H, Magritz R. Basic techniques in autogenous microtia repair. Facial Plast Surg 2009; 25 (3) 149-157
- 24 Siegert R, Magritz R. Reducing the morbidity involved in harvesting autogenous rib cartilage. Facial Plast Surg 2009; 25 (3) 169-174
- 25 Siegert R, Magritz R. Special reconstruction techniques for special circumstances. Facial Plast Surg 2009; 25 (3) 204-211
- 26 Duvdevani SI, Magritz R, Siegert R. Sulcus construction in microtia repair: a retrospective comparison of different techniques. JAMA Facial Plast Surg 2013; 15 (1) 17-20
- 27 Magritz R, Siegert R. Reconstruction of the avulsed auricle after trauma. Otolaryngol Clin North Am 2013; 46 (5) 841-855