Basic Techniques in Autogenous Microtia Repair

Abstract

Although several techniques can be used for microtia repair, some standard procedures have been developed over the past few decades. In specialized centers, these techniques are performed most frequently. They include two to four operative steps using autogenous rib cartilage for the framework and local skin for its tegument. We have been using this technique presented here in more than 800 cases over the past two decades with good and mostly stable results.

Keywords

Auricular reconstruction - autogenous cartilage - malformation

Publikationsverlauf

Publikationsdatum:
06. Oktober 2009 (online)

• REFERENCES

• 1 Gorlin RJ, Jue KL, Jacobsen U, Goldschmidt E. Oculoauriculovertebral dysplasia. J Pediatr 1963; 63: 991-999
• 2 Bestelmeyer U, Weerda H, Siegert R, Greiwe M, Schwinger E. [Familial occurrence of oculoauricolovertebral dysplasia and Franceschetti syndrome]. HNO 1996; 44: 452-455
• 3 Hunt JA, Hobar PC. Common craniofacial anomalies: the facial dysostoses. Plast Reconstr Surg 2002; 110: 1714-1725 quiz 1726 discussion 1727-1728
• 4 Weerda H. Classification of congenital deformities of the auricle. Facial Plast Surg 1988; 5: 385-388
• 5 Jahrsdoerfer RA, Yeakley JW, Aguilar EA, Cole RR, Gray LC. Grading system for the selection of patients with congenital aural atresia. Am J Otol 1992; 13: 6-12
• 6 Siegert R, Weerda H, Mayer T, Brückmann H. Hochauflösende Computertomographie fehlgebildeter Mittelohren. Laryngorhinootologie 1996; 75: 187-194
• 7 Farkas LG. Anthropometry of the normal and defective ear. Clin Plast Surg 1990; 17: 213-221
• 8 Siegert R, Krappen S, Kaesemann L, Weerda H. Computer-assisted anthropometry of the auricle. FACE 1998; 6: 1-6
• 9 Siegert R, Knölcker U, Konrad E. Psychosoziale Aspekte der totalen Ohrmuschelrekonstruktion bei Patienten mit schwerer Mikrotie. Laryngorhinootologie 1997; 76: 155-161
• 10 Siegert R. Combined reconstruction of congenital auricular atresia and severe microtia. Laryngoscope 2003; 113: 2021-2027 discussion 2028-2029
• 11 Nagata S. Modification of the stages in total reconstruction of the auricle: part I. Grafting the three-dimensional costal cartilage framework for lobule-type microtia. Plast Reconstr Surg 1994; 93: 221-230 discussion 267-268
• 12 Tanzer RC. Total reconstruction of the external ear. Plast Reconstr Surg 1959; 23: 1-15
• 13 Converse JM. Reconstruction of the external ear by prefabricated framework, of refrigerated bone and cartilage. Plast Reconstr Surg 1950; 5: 148-156
• 14 Brent B. Ear reconstruction with an expansile framework of autogenous rib cartilage. Plast Reconstr Surg 1974; 53: 619-628
• 15 Brent B. Auricular repair with autogenous rib cartilage grafts: two decades of experience with 600 cases. Plast Reconstr Surg 1992; 90: 355-374 discussion 375-376
• 16 Weerda H. Unsere Erfahrungen mit der Chirurgie der Ohrmuschelmißbildungen - Teil 1: Die Chirurgie einfacher Mißbildungen. Laryngorhinootologie 1982; 61: 346-349
• 17 Siegert R, Weerda H. Modifications in auricular reconstruction. Face 1998; 6: 35-38
• 18 Siegert R, Weerda H. Two-step external ear canal construction in atresia as part of auricular reconstruction. Laryngoscope 2001; 111(4 Pt 1): 708-714
• 19 Siegert R, Danter J, Jurk V, Eggers R, Krüger S, Krüger S. Dermal microvasculature and tissue selective thinning techniques (ultrasound and water-jet) of short-time expanded skin in dogs. Eur Arch Otorhinolaryngol 1998; 255: 325-330
• 20 Lindig M, Weerda H, Siegert R. Postoperative Schmerztherapie mittels on-demand-Analgesie nach Ohrmuschelaufbau mit Rippenknorpelentnahme. Laryngorhinootologie 1997; 76: 379-383
• 21 Weerda H. Surgery of the Auricle. Stuttgart, New York, Thieme Medical Publishers 2007.