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Abstract

OBJECTIVE: Auricular reconstruction for repair of severe congenital microtia can provide the patient with a realistic-looking pinna. However, an unseen functional cephaloauricular sulcus is necessary, especially for patients with eyeglasses.

TECHNIQUE: (1) A skin graft is harvested. (2) The ear framework is separated substantially from the side of the head. (3) A crescent of hair-bearing scalp skin is excised. (4) The donor skin graft is divided. One part of the graft surfaces the superolateral and medial portions of the auricular framework into the sulcus depth; the remainder covers the side of the head.

RESULTS: This simple technique was effective. Minor transient sequelae have included granulation tissue (2 patients), localized infection (2 patients), and adhesion (1 patient). Patients requiring glasses have worn frames soon after surgery, and no sulcus problems have resulted.

CONCLUSION: Creation of this postauricular sulcus during microtia reconstruction is easily performed and offers the patient a durable and functional space, especially for eyeglass wear.

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References

Tanzer

. Total reconstruction of the external ear. Plast Reconstr Surg 1959;23:1–15.

Brent

. The correction of microtia with autogenous cartilage grafts. I: The classic deformity. Plast Reconstr Surg 1980;66:1–12.

Brent

. Total auricular reconstruction with sculpted costal cartilage. In: Brent

, editor. The artistry of reconstruction surgery. St Louis: Mosby; 1987. p. 113–27.

Brent

. Auricular repair with autogenous rib cartilage grafts: Two decades of experience with 600 cases. Plast Reconstr Surg 1992;90:355–74.

Nagata

. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg 1993;92:187–200.

Eavey

. Microtia and significant auricular malformation: 92 pediatric patients. Arch Otolaryngol Head Neck Surg 1995;121:57–62.

Eavey

Ryan

. Refinements in pediatric microtia reconstruction. Arch Otolaryngol Head Neck Surg 1996;122:617–20.

Davis

. Severe microtia and radical auriculoplasty. In: Davis

, editor. Otoplasty: aesthetic and reconstruction techniques. New York: Thieme-Verlag; 1997. p. 66–100.

Cao

Vacanti

Paige

et al. Transplantation of chondrocytes utilizing a polymer-cell construct to produce tissue engineered cartilage in the shape of a human ear. Plast Reconstr Surg 1997;100:297–302.

10.

Eavey

. Discussion for article by Cao, et al. Plast Reconstr Surg 1997;100:303–4.

Microtia Repair: Creation of a Functional Postauricular Sulcus

Abstract

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References