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https://www.readbyqxmd.com/read/29664828/modified-2-stage-method-for-auricular-reconstruction
#1
Tengxiao Ma, Feng Xie, Zhengwen Zhang
BACKGROUND: Auricular reconstruction is one of the most challenging procedures in the field of plastic surgery. The aims of this study were to apply the modified 2-stage method to perform auricular reconstruction and to summarize the clinical experience in the past 10 years. METHODS: Auricular reconstruction was performed in 243 patients (total 254 ears) of congenital microtia using autologous costal cartilage. The whole procedure is divided into 2 stages. Stage I: the individualized framework fabricated with autologous costal cartilage is inserted into subcutaneous pocket in the mastoid region, and then the earlobe was transposed backward to connect with the lower part of the framework...
April 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29651401/rehabilitation-of-an-auricular-defect-using-surgical-stent
#2
Mahnaz Arshad, Gholamreza Shirani, Sina Refoua
Reconstruction of a facial defect is a complex modality either surgically or prosthetically, depending on the site, size, etiology, severity, age, and the patient's expectation. The loss of an auricle, in the presence of an auditory canal, affects hearing, because the auricle gathers sound and directs it into the canal. The auricle acts as a resonator to slightly amplify lower frequency sounds and helps to localize sounds, especially in conjunction with the other ear. Osseointegrated implants have an important role in the prosthetic reconstruction of patients with craniofacial defects...
January 2018: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29595733/predictors-for-unfavorable-projection-of-the-constructed-auricle-following-ear-elevation-surgery-in-microtia-reconstruction
#3
Kyeong-Tae Lee, Kap Sung Oh
BACKGROUND: Nagata's two-stage technique for microtia reconstruction using autologous costal cartilage consists of the implantation of a fabricated cartilage framework and the elevation of the constructed auricle. Achieving long-lasting, sufficient projection of the auricle is a goal of second-stage surgery; however, unfavorable outcomes have been seen in some patients, with suboptimal long-term elevation. The present study aimed to investigate prognostic factors that might contribute to adverse outcomes following the ear elevation operation...
April 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29574745/a-new-method-for-selecting-auricle-positions-in-skull-base-reconstruction-for-temporal-bone-cancer
#4
Kentaro Tanaka, Tomoyuki Yano, Tsutomu Homma, Atsunobu Tsunoda, Masaru Aoyagi, Seiji Kishimoto, Mutsumi Okazaki
OBJECTIVE: In advanced temporal bone carcinoma cases, we attempted to preserve as much of the auricle as possible from a cosmetic and functional perspective. Difficulties are associated with selecting an adequate position for reconstructed auricles intraoperatively. We improved the surgical procedure to achieve a good postoperative auricle position. METHODS: Nine patients were included in this study. All patients underwent subtotal removal of the temporal bone and resection of the external auditory canal while preserving most of the external ear, and lateral skull base reconstruction was performed with anterolateral thigh flaps...
March 25, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29433146/reconstruction-of-tragus-and-external-auditory-meatus-using-remnant-auricle-during-microtia-reconstruction
#5
Gao-Feng Li, Yi-Gao Hu, Wei Ding, Jun Tan, Xin Chen, Tao Luo, Bo Zhang, Xiao-Jia Liu
This article investigates an effective method with which to reconstruct the tragus and external auditory meatus for microtia reconstruction. The external ear was reconstructed using a delayed postauricular skin flap in patients with congenital microtia. After the first stage of delaying the postauricular skin flap and the second stage of otoplasty with ear framework fabricated from autogenous rib cartilage draping with the delayed skin flap, the third stage involved tragus and external auditory meatus canaloplasty...
February 12, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29419592/refinements-in-elevation-of-the-reconstructed-auricle-the-zigzag-incision
#6
So-Eun Han, Yeseul Eom, Kap Sung Oh
OBJECTIVE: Auricular elevation with superficial temporal fascia and skin graft is widely used in microtia reconstruction using costal cartilage. However, in some patients, there has been occurrence of contraction of skin graft, which led to insufficient projection of the elevated auricle and diminished auriculocephalic angle with unfavorable long-term results. In this article, the authors introduce their multiple triangular flaps with zigzag incision to maintain stable projection and natural retroauricular sulcus appearance in auricular reconstruction patients...
February 6, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29403186/innovative-usage-of-accessory-auricles-as-full-thickness-skin-graft
#7
Elankumar Subbarayan, Ravikumar Chittoria
Accessory auricles are relatively rare malformations arising from the first branchial arch which contains skin, fat and cartilage. The treatment is usually surgical removal for the cosmetic purpose. We are sharing our experience of utilising the accessory auricle skin as full thickness graft for post.burn reconstruction of the fingers contracture of a child. Even though this type of association is rare, it is an innovative idea following Sir Harold Gilles' principle 'Never throw anything away'.
July 2017: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/29396297/in-vitro-regeneration-of-patient-specific-ear-shaped-cartilage-and-its-first-clinical-application-for-auricular-reconstruction
#8
Guangdong Zhou, Haiyue Jiang, Zongqi Yin, Yu Liu, Qingguo Zhang, Chen Zhang, Bo Pan, Jiayu Zhou, Xu Zhou, Hengyun Sun, Dan Li, Aijuan He, Zhiyong Zhang, Wenjie Zhang, Wei Liu, Yilin Cao
Microtia is a congenital external ear malformation that can seriously influence the psychological and physiological well-being of affected children. The successful regeneration of human ear-shaped cartilage using a tissue engineering approach in a nude mouse represents a promising approach for auricular reconstruction. However, owing to technical issues in cell source, shape control, mechanical strength, biosafety, and long-term stability of the regenerated cartilage, human tissue engineered ear-shaped cartilage is yet to be applied clinically...
January 13, 2018: EBioMedicine
https://www.readbyqxmd.com/read/29381620/modified-methods-of-fabricating-helix-and-antihelix-in-total-auricular-reconstruction-based-on-different-length-of-eighth-costal-cartilage
#9
Meirong Yang, Haiyue Jiang, Huibin Li, Xiaobo Yu, Ye Zhang, Bo Pan
BACKGROUND: Attaining an ideal appearance of the reconstructed ear depends primarily on the fabricated cartilaginous ear framework. Despite the role of eighth costal cartilage, the length of the eighth rib cartilage is difficult to anticipate, and growth of the eighth cartilage is variable. The authors discussed modified methods of fabricating helix and antihelix based on different length of eighth costal cartilage. METHODS: Based on the actual length of the eighth costal cartilage, patients were divided into group A and group B...
January 19, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29287851/hearing-improvement-with-softband-and-implanted-bone-anchored-hearing-devices-and-modified-implantation-surgery-in-patients-with-bilateral-microtia-atresia
#10
Yibei Wang, Xinmiao Fan, Pu Wang, Yue Fan, Xiaowei Chen
OBJECTIVE: To evaluate auditory development and hearing improvement in patients with bilateral microtia-atresia using softband and implanted bone-anchored hearing devices and to modify the implantation surgery. METHODS: The subjects were divided into two groups: the softband group (40 infants, 3 months to 2 years old, Ponto softband) and the implanted group (6 patients, 6-28 years old, Ponto). The Infant-Toddler Meaning Auditory Integration Scale was used conducted to evaluate auditory development at baseline and after 3, 6, 12, and 24 months, and visual reinforcement audiometry was used to assess the auditory threshold in the softband group...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29222584/-preservation-of-the-outer-ear-in-a-complex-burn-injury
#11
Fabian Medved, Hans-Eberhard Schaller, Jens Martin Rothenberger, Manuel Held, Kevin Beutler, Cedric E Boesch
Saving the outer ear in burn injuries is a challenging task for the treating surgeon that should not be underestimated. Burns which are initially evaluated as superficial, particularly in this region, often have a tendency to undergo progressive tissue destruction whereby conservative treatment is often no longer sufficient to preserve the skin of the auricle with the underlying cartilage. Various possibilities for saving the ear and for ear reconstruction are described, but in the case of severely burned patients it is often necessary to carry out a quick and relatively simple treatment...
January 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29169692/anthropometric-growth-study-of-the-ear-in-a-chinese-population
#12
Shichun Zhao, Dianguo Li, Zhenzhong Liu, Yibiao Wang, Lei Liu, Duyin Jiang, Bo Pan
BACKGROUND: A large number of anthropometric studies of the auricle have been reported in different nations, but little data were available in the Chinese population. The aim of this study was to analyze growth changes in the ear by measuring the width and length of ears in a Chinese population. METHODS: A total of 480 participants were enrolled and classified into 1-, 3-, 5-, 7-, 9-, 12-, 14-, and 18-year groups (half were boys and half were girls in each group)...
October 20, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29135725/firm-elevation-of-reconstructed-auricle-using-polydactyly-digit-in-microtia
#13
Suk Yoon Jang, Woo Seob Kim, Han Koo Kim, Tae Hui Bae
Total ear reconstruction for microtia is usually accomplished in 2 stages which is known as Nagata technique. After framework fabrication and implantation, the elevation procedure is required as a second step surgery. The authors are introducing a novel material for augmenting projection of rib cartilage framework in microtia treatment.
November 9, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29072657/-the-influence-of-biological-compatibility-of-the-cyanoacrylate-glue-on-regeneration-of-the-cartilaginous-tissue
#14
F V Semenov, N F Skibitskaya
The objective of the present study was to evaluate the possibility of the application of the cyanoacrylate-based glue for the strengthening of the reconstructed elements of the middle ear and its influence on the regeneration of the cartilaginous tissue. We used the cartilaginous tissue from the auricles of the male California rabbits as a model. The cartilage was destroyed in a standard press. Half of the cartilage thus fragmented was implanted into the left auricle. The remaining part was mixed up with the cyanoacrylate glue and implanted into the right auricle of the same animal...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/28984809/otology-at-the-academy-of-gondishapur-200-600-ce
#15
Robert J Ruben
OBJECTIVE: To investigate the way in which otology was practiced at the Academy of Gondishapur in ancient Persia from 200 to 600 CE. METHOD: The pertinent literature, using German and English translations of Latin, Greek, Arabic, and Sanskrit documents, was identified and reviewed through the indices of available books and through a PDF search for the following topics: auricle, deaf, deafness, dizziness, ear, hearing, medicine, otitis, pinna, punishment-ear, speech, surgery, vertigo, and voice...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28972475/mixed-type-basal-cell-carcinoma-of-the-auricle-single-stage-reconstruction-after-r0-resection-by-a-modified-antia-buch-flap-clinical-case-report
#16
A Goldman, U Wollina
Basal cell carcinoma (BCC) is the most common neoplasia in Caucasians with a pre-dominance for the sun-exposed anatomical areas including the auricle. The treatment of choice is surgery achieving an R0-resection status. On the other hand, functional and aesthetic results are of importance. We report a case of 79-year-old Caucasian man with a BCC of the helical rim that was treated surgically using a modified Antia-Buch flap for single stage reconstruction. Article is discussing peculiarities of BCC on the auricle and options for auricular reconstruction...
September 2017: Georgian Medical News
https://www.readbyqxmd.com/read/28964287/aesthetic-and-hearing-rehabilitation-in-patients-with-bilateral-microtia-atresia
#17
Xinmiao Fan, Yibei Wang, Pu Wang, Yue Fan, Yu Chen, Yuanli Zhu, Xiaowei Chen
OBJECTIVES: To evaluate the safety and efficacy of auricle reconstruction and active transcutaneous bone-conduction implantation in patients with bilateral microtia-atresia. DESIGN: Patients were chosen prospectively, with each being his/her own control. SETTING: The setting was a tertiary referral center. PARTICIPANTS: Twelve patients, aged 6-18 years, with bilateral microtia-atresia suffering from bilateral conductive hearing loss...
October 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28942231/the-folded-postauricular-flap-a-novel-approach-to-reconstruction-of-large-full-thickness-defects-of-the-conchal-bowl
#18
Ansley M Roche, Martha Griffin, Ron Shelton, Mark L Urken
Extensive subtotal full-thickness auriculectomy defects pose a challenge for the reconstructive surgeon. The posterior island flap (PIF), based on the posterior auricular artery, has been described as a reconstructive option for auricular defects, with reports describing a "pull-through" or "revolving door" technique to reconstruct subtotal partial thickness and full thickness auricular defects. These techniques may result in posterior "pinning" of the auricle. This patient is an 87-year-old male who presented after Mohs excision of squamous cell carcinoma of the conchal bowl, which resulted in a 4x4cm subtotal auriculectomy defect...
November 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28852299/a-simplified-reconstructive-technique-for-full-thickness-central-defects-of-the-auricle-with-the-use-of-a-post-auricular-folded-flap
#19
Ioannis Papadiochos, Eleni Bourlidou, Doxa Mangoudi
BACKGROUND: Post-auricular flaps have proved very effective in the reconstruction of most types of partial auricular defects. However, few reports exist regarding the reconstruction of centrally located perforating defects of the auricle. OBJECTIVES: This paper aimed to describe a one-stage technique including a post-auricular folded flap (PAFF) for reconstruction of full-thickness defects of central auricular sites. PATIENTS AND METHODS: Between March 2010 and November 2014, five male patients were treated with this reconstructive technique under local anaesthesia...
April 2017: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/28798547/partial-ear-defects
#20
REVIEW
Brent B Pickrell, Christopher D Hughes, Renata S Maricevich
Reconstruction of partial ear defects represents one of the most challenging areas within reconstructive surgery of the head and neck. Each case of auricular reconstruction is unique and warrants a systematic approach that accounts for defect size and location, the quality of the surrounding skin, patient preference, and operator experience. In this article, the authors outline different reconstructive approaches for defects of the upper-, middle-, and lower-third of the auricle. The relevant anatomy is discussed in detail...
August 2017: Seminars in Plastic Surgery
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