Background: The creation of a high-defining tragus and antitragus complex remains a demanding challenge during staged lobule-type microtia reconstruction. The success of the complex carving relies greatly on proper operation of the cartilage, which is commonly residual cartilage of various sizes. The authors discuss the relevant details for sculpting the tragus and antitragus complex based on cartilage remnants in various conditions.
Methods: A series of 562 lobule-type microtia patients underwent autogenous costal cartilage auricular reconstruction between 2007 and 2016. Because of the various sizes and shapes of the remnant cartilage used for the tragus and antitragus complex reconstruction, the authors have described possible scenarios for fabrication and introduced relevant tactics for appropriate treatment.
Results: Corresponding methods for various scenarios in tragus and antitragus complex fabrication have been shown to demonstrate a satisfactory appearance. The results demonstrate the achievement of a harmonious tragus and antitragus complex for the integrity of a constructed ear.
Conclusions: Proper use of the residual cartilage for tragus and antitragus complex sculpture plays a vital role in acquiring a favorable contour of the auricle in microtia reconstruction. The introduced approach enhances the aesthetics and functionality of the complex for modern life.
Clinical Question/level Of Evidence: Therapeutic, IV.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/PRS.0000000000006043 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Cartilage-Saving Technique for Tragus and Antitragus Fabrication in Auricular Reconstruction.
Facial Plast Surg Aesthet Med
November 2024
Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
For auricular reconstruction surgery using autologous costal cartilage, younger patients typically have a limited amount of costal cartilage available. We introduce a cartilage-saving technique for fabricating the tragus and antitragus, and evaluate its effectiveness based on aesthetic score and complications. For tragus fabrication, the residual part of the seventh costal cartilage was reoriented by 90° to increase its height and carved into a seagull-shaped structure.
View Article and Find Full Text PDFEvaluation of the Reproducibility of Auricular Subunit Markers Based on Three-Dimensional Computed Tomography.
Aesthetic Plast Surg
August 2024
Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xin Gang Road, Guangzhou City, 510315, Guangdong Province, China.
Article Synopsis
- The auricle is crucial for the aesthetic and functional integrity of the face, and this study evaluates the reproducibility of auricular subunits to guide improvements in auricular reconstruction and injections.
- Using 3D reconstruction of CT scans, the study measured coordinates of 13 auricular subunit markers, revealing varying levels of reproducibility across different subunits.
- Findings showed that a majority (58.82%) of markers had high reproducibility, especially notable in certain areas, while also highlighting gender and age differences in auricle dimensions, emphasizing the importance of optimizing these structures in future surgical procedures.
Correlation of Grading and Number of Ear Subunits With Auditory Brainstem Response Findings in Children With Microtia.
Am J Audiol
June 2024
Department of Ear Nose Throat-Head Neck Surgery, Faculty of Medicine, University of Indonesia - Dr. Cipto Mangunkusumo General Hospital, Jakarta.
Purpose: The association between microtia severity and hearing function has been thoroughly investigated. This study examined the relationship between microtia grade, number of ear subunits (i.e.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!