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Semin Plast Surg 2017; 31(03): 146-151
DOI: 10.1055/s-0037-1603959
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Autologous Ear Reconstruction

Asaf Olshinka
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Matthew Louis
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Tuan A. Truong
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
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Publikationsdatum:
09. August 2017 (online)

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Abstract

Since the pioneering use of autologous rib cartilage for the reconstruction of microtia, there have been significant advances in surgical technique that have helped to ameliorate the psychological burden of microtia. To date, the use of rib cartilage for auricular reconstruction is one of the most enduring and ubiquitous techniques for microtia reconstruction as it provides excellent aesthetic results with lasting durability. In this review, the authors outline the most common methods of microtia reconstruction with a comparison of each technique and illustrative case examples.

Keywords

Brent - Nagata - autologous ear reconstruction - Tanzer - cartilage
 

  • References

  • 1 Bhishagratna KKL. An English Translation of the Susruta Samhita. Calcutta: Wilkins Press; 1907
    Suche in Google Scholar
  • 2 Gillies H. Plastic Surgery of the Face. London: Frowde, Hodder & Stoughton; 1920
    Suche in Google Scholar
  • 3 Pierce GW. Reconstruction of the external ear. Surg Gynecol Obstet 1930; 50: 601
    PubMedSuche in Google Scholar
  • 4 Converse JM. The absorption and shrinkage of maternal ear cartilage used as living homografts: Follow-up report of 21 of Gillies' patients. In: John M. Converse, ed. Reconstructive and Plastic Surgery. 2nd ed. Philadelphia, PA: Saunders; 1977: 308
    Suche in Google Scholar
  • 5 Gillies HD. Reconstruction of the external ear with special reference to the use of maternal ear cartilage as the supporting structure. Rev Chir Structive 1937; 7: 169
    PubMedSuche in Google Scholar
  • 6 Steffensen WH. Comments on total reconstruction of the ear. Plast Reconstr Surg (1946) 1952; 10 (03) 186-190
    CrossrefPubMedSuche in Google Scholar
  • 7 Steffensen WH. Comments on reconstruction of the external ear. Plast Reconstr Surg (1946) 1955; 16 (03) 194-200
    CrossrefPubMedSuche in Google Scholar
  • 8 Tanzer RC. Total reconstruction of the external ear. Plast Reconstr Surg Transplant Bull 1959; 23 (01) 1-15
    CrossrefPubMedSuche in Google Scholar
  • 9 Tanzer RC. Microtia--a long-term follow-up of 44 reconstructed auricles. Plast Reconstr Surg 1978; 61 (02) 161-166
    CrossrefPubMedSuche in Google Scholar
  • 10 Brent B. Auricular repair with autogenous rib cartilage grafts: two decades of experience with 600 cases. Plast Reconstr Surg 1992; 90 (03) 355-374 , discussion 375–376
    CrossrefPubMedSuche in Google Scholar
  • 11 Brent B. Microtia repair with rib cartilage grafts: a review of personal experience with 1000 cases. Clin Plast Surg 2002; 29 (02) 257-271 , vii
    CrossrefPubMedSuche in Google Scholar
  • 12 Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg 1993; 92 (02) 187-201
    CrossrefPubMedSuche in Google Scholar
  • 13 Walton RL, Beahm EK. Auricular reconstruction for microtia: Part II. Surgical techniques. Plast Reconstr Surg 2002; 110 (01) 234-249 , quiz 250–251, 387
    CrossrefPubMedSuche in Google Scholar
  • 14 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 (02) 221-230 , discussion 267–268
    CrossrefPubMedSuche in Google Scholar
  • 15 Nagata S. Modification of the stages in total reconstruction of the auricle: Part II. Grafting the three-dimensional costal cartilage framework for concha-type microtia. Plast Reconstr Surg 1994; 93 (02) 231-242 , discussion 267–268
    CrossrefPubMedSuche in Google Scholar
  • 16 Nagata S. Modification of the stages in total reconstruction of the auricle: Part III. Grafting the three-dimensional costal cartilage framework for small concha-type microtia. Plast Reconstr Surg 1994; 93 (02) 243-253 , discussion 267–268
    CrossrefPubMedSuche in Google Scholar
  • 17 Nagata S. Modification of the stages in total reconstruction of the auricle: Part IV. Ear elevation for the constructed auricle. Plast Reconstr Surg 1994; 93 (02) 254-266 , discussion 267–268
    CrossrefPubMedSuche in Google Scholar
  • 18 Firmin F. Ear reconstruction in cases of typical microtia. Personal experience based on 352 microtic ear corrections. Scand J Plast Reconstr Surg Hand Surg 1998; 32 (01) 35-47
    CrossrefPubMedSuche in Google Scholar
  • 19 Brent B. Technical advances in ear reconstruction with autogenous rib cartilage grafts: personal experience with 1200 cases. Plast Reconstr Surg 1999; 104 (02) 319-334 , discussion 335–338
    CrossrefPubMedSuche in Google Scholar
  • 20 Grabb WC. The first and second branchial arch syndrome. Plast Reconstr Surg 1965; 36 (05) 485-508
    CrossrefPubMedSuche in Google Scholar
  • 21 Aase JM, Tegtmeier RE. Microtia in New Mexico: evidence for multifactorial causation. Birth Defects Orig Artic Ser 1977; 13 (3A): 113-116
    PubMedSuche in Google Scholar
  • 22 Takahashi H, Maeda K. Survey of familial occurrence in 171 microtia cases. Jpn J Plast Surg 1982; 15: 310
    PubMedSuche in Google Scholar
  • 23 McKenzie J, Craig J. Mandibulo-facial dysostosis (Treacher Collins syndrome). Arch Dis Child 1955; 30 (152) 391-395
    CrossrefPubMedSuche in Google Scholar
  • 24 Poswillo D. The pathogenesis of the first and second branchial arch syndrome. Oral Surg Oral Med Oral Pathol 1973; 35 (03) 302-328
    CrossrefPubMedSuche in Google Scholar
  • 25 Brent B. The pediatrician's role in caring for patients with congenital microtia and atresia. Pediatr Ann 1999; 28 (06) 374-383
    CrossrefPubMedSuche in Google Scholar
  • 26 Rogers BO. Microtic, lop, cup and protruding ears: four directly inheritable deformities?. Plast Reconstr Surg 1968; 41 (03) 208-231
    CrossrefPubMedSuche in Google Scholar
  • 27 Tanzer RC. The constricted (cup and lop) ear. Plast Reconstr Surg 1975; 55 (04) 406-415
    CrossrefPubMedSuche in Google Scholar
  • 28 Horlock N, Vögelin E, Bradbury ET, Grobbelaar AO, Gault DT. Psychosocial outcome of patients after ear reconstruction: a retrospective study of 62 patients. Ann Plast Surg 2005; 54 (05) 517-524
    CrossrefPubMedSuche in Google Scholar
  • 29 Johns AL, Lucash RE, Im DD, Lewin SL. Pre and post-operative psychological functioning in younger and older children with microtia. J Plast Reconstr Aesthet Surg 2015; 68 (04) 492-497
    CrossrefPubMedSuche in Google Scholar
  • 30 Akter F, Mennie JC, Stewart K, Bulstrode N. Patient reported outcome measures in microtia surgery. J Plast Reconstr Aesthet Surg 2017; 70 (03) 416-424
    CrossrefPubMedSuche in Google Scholar
  • 31 Cronin TD. Use of a silastic frame for total and subtotal reconstruction of the external ear: preliminary report. Plast Reconstr Surg 1966; 37 (05) 399-405
    CrossrefPubMedSuche in Google Scholar
  • 32 Brent B. The correction of mi-rotia with autogenous cartilage grafts: I. The classic deformity.?. Plast Reconstr Surg 1980; 66 (01) 1-12
    CrossrefPubMedSuche in Google Scholar
  • 33 Brent B. The correction of microtia with autogenous cartilage grafts: II. Atypical and complex deformities. Plast Reconstr Surg 1980; 66 (01) 13-21
    CrossrefPubMedSuche in Google Scholar
  • 34 Firmin F. Ear reconstruction in cases of typical microtia. Personal experience based on 352 microtia corrections. Scand J Plast Reconstr Surg Hand Surg 1998; 32 (01) 35-47
    CrossrefPubMedSuche in Google Scholar
  • 35 Nagata S. Total auricular reconstruction with a three-dimensional costal cartilage framework. Ann Chir Plast Esthet 1995; 40 (04) 371-399 , discussion 400–403
    PubMedSuche in Google Scholar
  • 36 Kawanabe Y, Nagata S. A new method of costal cartilage harvest for total auricular reconstruction: part I. Avoidance and prevention of intraoperative and postoperative complications and problems. Plast Reconstr Surg 2006; 117 (06) 2011-2018
    CrossrefPubMedSuche in Google Scholar
  • 37 Kawanabe Y, Nagata S. A new method of costal cartilage harvest for total auricular reconstruction: part II. Evaluation and analysis of the regenerated costal cartilage. Plast Reconstr Surg 2007; 119 (01) 308-315
    CrossrefPubMedSuche in Google Scholar
  • 38 Chen Z-C, Goh RC, Chen PK-T, Lo L-J, Wang S-Y, Nagata S. A new method for the second-stage auricular projection of the Nagata method: ultra-delicate split-thickness skin graft in continuity with full-thickness skin. Plast Reconstr Surg 2009; 124 (05) 1477-1485
    CrossrefPubMedSuche in Google Scholar
  • 39 Kurabayashi T, Asato H, Suzuki Y, Kaji N, Mitoma Y. A temporoparietal fascia pocket method in elevation of reconstructed auricle for microtia. Plast Reconstr Surg 2017; 139 (04) 935-945
    CrossrefPubMedSuche in Google Scholar
  • 40 Park C. Subfascial expansion and expanded two-flap method for microtia reconstruction. Plast Reconstr Surg 2000; 106 (07) 1473-1487
    CrossrefPubMedSuche in Google Scholar
  • 41 Baluch N, Nagata S, Park C. , et al. Auricular reconstruction for microtia: A review of available methods. Plast Surg (Oakv) 2014; 22 (01) 39-43
    CrossrefPubMedSuche in Google Scholar
  • 42 Brånemark R, Brånemark PI, Rydevik B, Myers RR. Osseointegration in skeletal reconstruction and rehabilitation: a review. J Rehabil Res Dev 2001; 38 (02) 175-181
    PubMedSuche in Google Scholar