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Facial Plast Surg 2021; 37(03): 354-359
DOI: 10.1055/s-0040-1719101
Original Research

Burned Ear Reconstruction Using the Combination of an Expanded Postauricular Scar Skin Flap and a Postauricular Fascial Flap

Peipei Guo
1   The Seven Department, Chinese Academy of Medical Sciences and Peking Union Medical College Plastic Surgery Hospital and Institute, Shijingshan District, Beijing, China
,
Bo Pan
1   The Seven Department, Chinese Academy of Medical Sciences and Peking Union Medical College Plastic Surgery Hospital and Institute, Shijingshan District, Beijing, China
,
Haiyue Jiang
1   The Seven Department, Chinese Academy of Medical Sciences and Peking Union Medical College Plastic Surgery Hospital and Institute, Shijingshan District, Beijing, China
,
Qinghua Yang
1   The Seven Department, Chinese Academy of Medical Sciences and Peking Union Medical College Plastic Surgery Hospital and Institute, Shijingshan District, Beijing, China
,
Lin Lin
1   The Seven Department, Chinese Academy of Medical Sciences and Peking Union Medical College Plastic Surgery Hospital and Institute, Shijingshan District, Beijing, China
› Institutsangaben Funding This study was supported by CAMS Innovation Fund for Medical Sciences (2016-12M-1-002), the National Natural Science Foundation of China (No. 81571863), and the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences (2018PT31051).
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Abstract

The external ear is highly vulnerable to burn injury due to its location and thin integument. Reconstruction of the external ear after burns is a major challenge to undertake, and surgeons face many problems, including excessive scar tissue, poor blood supply, a paucity of available skin, and a high infection rate, when designing an operative plan for patients with postburn auricular deformity. In this article, the authors describe their experience of using an expanded postauricular scar flap combined with a postauricular fascial flap as the coverage for the framework for subtotal and total ear reconstruction in 27 burned patients. Four patients developed expander exposure and two developed framework exposure, which were resolved with good results after further repair. After an average follow-up time of 6 months, all of the patients experienced very good cosmetic outcomes, high satisfaction, and low morbidity.

Keywords

burn injury - ear reconstruction - postauricular fascial flap - expanded postauricular scar skin flap

Ethical Approval

The study was approved by the Ethics Committee of the Plastic Surgery Hospital, Peking Union Medical College, and the Chinese Academy of Medical Sciences.




Publikationsverlauf

Artikel online veröffentlicht:
21. Oktober 2020

© 2020. Thieme. All rights reserved.

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  • References

  • 1 Kraenzlin FS, Mushin OP, Ayazi S, Loree J, Bell DE. Epidemiology and outcomes of auricular burn injuries. J Burn Care Res 2018; 39 (03) 326-331
    PubMedSuche in Google Scholar
  • 2 Bhandari PS. Total ear reconstruction in post burn deformity. Burns 1998; 24 (07) 661-670
    CrossrefPubMedSuche in Google Scholar
  • 3 Gault D. Post traumatic ear reconstruction. J Plast Reconstr Aesthet Surg 2008; 61 (Suppl. 01) S5-S12
    CrossrefPubMedSuche in Google Scholar
  • 4 Mills II DC, Roberts LW, Mason Jr AD, McManus WF, Pruitt Jr BA. Suppurative chondritis: its incidence, prevention, and treatment in burn patients. Plast Reconstr Surg 1988; 82 (02) 267-276
    CrossrefPubMedSuche in Google Scholar
  • 5 Engrav LH, Richey KJ, Walkinshaw MD, Gottlieb JR. Chondritis of the burned ear: a preventable complication if .. Ann Plast Surg 1989; 23 (01) 1-2
    CrossrefPubMedSuche in Google Scholar
  • 6 Akin S. Burned ear reconstruction using a prefabricated free radial forearm flap. J Reconstr Microsurg 2001; 17 (04) 233-236
    Thieme ConnectPubMedSuche in Google Scholar
  • 7 Ray E, Wu T, Nazarian Mobin SS, Reinisch J, Urata MM. Review of options for burned ear reconstruction. J Craniofac Surg 2010; 21 (04) 1165-1169
    CrossrefPubMedSuche in Google Scholar
  • 8 Pan B, Jiang H, Guo D, Huang C, Hu S, Zhuang H. Microtia: ear reconstruction using tissue expander and autogenous costal cartilage. J Plast Reconstr Aesthet Surg 2008; 61 (Suppl. 01) S98-S103
    CrossrefPubMedSuche in Google Scholar
  • 9 Iljin A, Lewandowicz E, Antoszewski B, Zieliński T. Results of auricular helical rim reconstruction with post-auricular tube flap. Pol Przegl Chir 2016; 88 (01) 32-37
    CrossrefPubMedSuche in Google Scholar
  • 10 Jiang H, Pan B, Lin L, Cai Z, Zhuang H. Ten-year experience in microtia reconstruction using tissue expander and autogenous cartilage. Int J Pediatr Otorhinolaryngol 2008; 72 (08) 1251-1259
    CrossrefPubMedSuche in Google Scholar
  • 11 Bos EJ, Doerga P, Breugem CC, van Zuijlen PP. The burned ear; possibilities and challenges in framework reconstruction and coverage. Burns 2016; 42 (07) 1387-1395
    CrossrefPubMedSuche in Google Scholar
  • 12 Abul-Hassan HS, von Drasek Ascher G, Acland RD. Surgical anatomy and blood supply of the fascial layers of the temporal region. Plast Reconstr Surg 1986; 77 (01) 17-28
    PubMedSuche in Google Scholar
  • 13 Park C, Lew DH, Yoo WM. An analysis of 123 temporoparietal fascial flaps: anatomic and clinical considerations in total auricular reconstruction. Plast Reconstr Surg 1999; 104 (05) 1295-1306
    CrossrefPubMedSuche in Google Scholar
  • 14 Driscoll DN, Lee JH. Combining scalp tissue expansion with porous polyethylene total ear reconstruction in burned patients. Ann Plast Surg 2010; 64 (02) 183-186
    CrossrefPubMedSuche in Google Scholar
  • 15 Fernandes JR, Driscoll DN. Burn ear reconstruction using porous polyethylene implants and tissue expansion. J Burn Care Res 2016; 37 (04) e348-e352
    CrossrefPubMedSuche in Google Scholar
  • 16 Park C, Suk Roh T. Total ear reconstruction in the devascularized temporoparietal region: I. Use of the contralateral temporoparietal fascial free flap. Plast Reconstr Surg 2001; 108 (05) 1145-1153
    CrossrefPubMedSuche in Google Scholar
  • 17 Zhou G, Teng L, Chang HM. et al. Free prepared composite forearm flap transfer for ear reconstruction: three case reports. Microsurgery 1994; 15 (09) 660-662
    CrossrefPubMedSuche in Google Scholar