By R. Staudenmaier, P.J. Bradley

Ear reconstruction has constructed from the only plastic reconstruction of the auricle to a extra complicated method that comes with the practical rehabilitation of listening to. For the patient's profit the variety of surgical procedures might be diminished to 2 or 3 whereas nonetheless holding very good effects. This improvement is because of advancements in surgeries in addition to technical advancements corresponding to bone-anchored listening to aids or cochlear implants. The authors of this quantity have thought of various features of reconstruction of serious ear malformation. advancements in surgical procedure and the alternative of prosthetic fabrics are heavily tested, and the advantages of alloplastic fabrics compared to autologous cartilage are mentioned. beauty results usually are not defined in isolation, yet just about advancements in sufferers' listening to, quite within the context of bone-anchored and implantable listening to aids. similar fields, resembling tissue engineering, carry giant untapped strength for this region. The influence they'll have sooner or later is mentioned intimately, aiding to color an image of treatment plans that might turn into to be had to pros. This quantity is an critical evaluation that might be of curiosity to otorhinolaryngologists, plastic surgeons, maxillofacial surgeons and pediatricians.

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Extra info for Aesthetics and Functionality in Ear Reconstruction (Advances in Oto-Rhino-Laryngology, Vol. 68)

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12 Roberts AC: Facial Prostheses, ed 2. London, Kenry Kimpton, 1971. 13 Dieffenbach JF; in Fritze HE, Reich OF (eds): Die Plastische Chirurgie in ihrem weitesten Umfang dargestellt und durch Abbildungen erläutert. Berlin, Hirschwald, 1845. 14 von Szymanowski J: Ohrbildung, Otoplastik; in von Szymanowski J: Handbuch der operativen Chirurgie. Braunschweig, F Vieweg & Sohn, 1870, pp 303–306. 15 Di Martino G: Anomalie de pavillon d’oreille. Bull Acad Natl Med 1856/1857;22:17. 16 Cocheril G; cited in: Converse JM: Reconstructive Plastic Surgery.

Careful consideration of these 3 possible types of skin approach (Z-plasty, transfixion incision and skin incision ) will lead to the most appropriate one being selected. First, it is essential to draw the contours of the normal ear on a template and place it on the future ideal location. This location is precisely determined by measurements and comparative landmarks on both sides (fig. 17, 18). Once an outline of the ear on the abnormal side has been drawn, analysis of the possible adaptation of the remnants to the future contours of the ear is possible.

This is cosmetically unpleasant, and is difficult to correct. Sufficient rib cartilage for reconstruction also requires a certain minimum age of the patient. Good long-term results can only be anticipated if the patient is at least 9 or 10 years of age. The attempt to make due with a little bit of cartilage usually leads to unsatisfactory results or a poor projection of the new ear. However, since patients with ear concha malformations are often the target of teasing and suffer the emotional stress that goes with it, it is recommended that surgical correction be undertaken as early as possible, best of all would be prior to kindergarten [21, 22].

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