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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 PDFCartilage-Sparing Microtia Repair: First in-Human Test of Autologous Framework Production.
Facial Plast Surg Aesthet Med
August 2022
Department of Plastic and Reconstructive Surgery and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Design of a Novel Reproducible Cartilage-Sparing Autologous Technique for Microtia Repair.
Facial Plast Surg Aesthet Med
August 2021
Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Microtia reconstruction through manual carving of autologous rib cartilage has a steep learning curve, is operator dependent, is time consuming, requires multiple stages, and frequently results in suboptimal results with poor patient satisfaction. The use of temporoparietal fascia over polypropylene implants achieves excellent cosmetic outcomes in a single stage, although is burdened by infection and extrusion in some cases. We describe the development of a hybrid technique with a novel device that allows for standardization of the cartilaginous construct, minimization of the need for donor cartilage and operative time, and minimization of the number of stages.
View Article and Find Full Text PDFModular Component Assembly Approach to Microtia Reconstruction.
JAMA Facial Plast Surg
July 2016
Beckman Laser Institute and Medical Clinic, University of California-Irvine, Irvine3Department of Otolaryngology, Head and Neck Surgery, University of California-Irvine, Orange4Department of Otolaryngology, Head and Neck Surgery, University of California-
Background: Current methods of microtia reconstruction include carving an auricular framework from the costal synchondrosis. This requires considerable skill and may create a substantial defect at the donor site.
Objective: To present a modular component assembly (MCA) approach that minimizes the procedural difficulty with microtia repair and reduces the amount of cartilage to a single rib.
Technical advances in ear reconstruction with autogenous rib cartilage grafts: personal experience with 1200 cases.
Plast Reconstr Surg
August 1999
El Camino Hospital, Mountain View, California, USA.
Through the author's experience with 1200 cases during a 25-year period, this article presents technical improvements in ear reconstruction and proposes and discusses possible directions for further technical advancement. This article presents the rationale for the author's current methods of managing total ear repair. Throughout the article, the author stresses and demonstrates cartilage-sparing techniques that are designed to minimize the amount of cartilage used in a repair to preserve maximum chest wall integrity.
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