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The Pillars Concept: An Approach for Managing Hypertrophic Concha in Otoplasty.
Facial Plast Surg
December 2024
Private Practice, Department of Otorhinolaryngology, Head and Neck Surgery, Mallorca, Spain.
Prominent ear deformities often result from a combination of hypertrophic conchal cartilage and an underdeveloped antihelical fold. Traditional otoplasty techniques, such as antihelical folding sutures and conchal setback maneuvers, may introduce tension and risk of relapse, leading to suboptimal aesthetic outcomes. The PILLARS CONCEPT: represents an alternative surgical approach specifically designed to address hypertrophic concha, ensuring stable and natural results.
View Article and Find Full Text PDFThree-dimensional printing technology for the positioning of the reconstructed auricle in microtia reconstruction.
J Stomatol Oral Maxillofac Surg
December 2024
Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing,China.
Backgound: The positioning of the reconstructed ear in ear reconstruction is a crucial step that directly affects the surgical outcome.This study employs the residual ear tissue as a reference, in conjunction with three-dimensional(3D)printing model of the normal ear's mirror image corresponding to the microtia ear, to facilitate precise positioning during the reconstruction of the ear.
Methods: This study established a 3D model group and a control group.
Single Stage Reconstruction of Composite Rhinectomy Defects Using Osteocutaneous Radial Forearm Free Flap.
Head Neck
December 2024
Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
Background: Composite rhinectomy defects pose significant challenges due to the nose's complex structure and role in facial esthetics and function. Traditional nasal reconstructions often require multiple stages to restore mucosal lining, structural support, and external skin.
Methods: This case series examines the use of a single-stage osteocutaneous radial forearm free flap (OCRFFF) for composite rhinectomy reconstruction.
Ear Reconstruction following Mohs Micrographic Surgery.
Semin Plast Surg
November 2024
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Relative to other regions of the body, the ear has a high risk of developing cutaneous malignancies that often necessitate Mohs micrographic surgery (MMS) for removal. This procedure can create defects that are immediately noticeable if left untreated. Reconstructive techniques are often needed to restore the appearance of the affected ear and its symmetrical relationship to the contralateral ear.
View Article and Find Full Text PDFTriangular flaps combined with full-thickness skin graft for repairing concha-type microtia.
J Plast Reconstr Aesthet Surg
November 2024
Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Background: Microtia is a common congenital craniofacial malformation, with concha-type microtia presenting unique challenges due to the relatively large residual auricle tissue and flexible surgical methods. The authors employed triangular flaps combined with full-thickness skin graft technique for treating concha-type microtia, achieving marked treatment effects.
Method: Thirty-five patients with unilateral concha-type microtia were enrolled in this study from January 2023 to June 2024.
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