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Titolo:
Firm elevation of the auricle in reconstruction of microtia with a retroauricular fascial flap wrapping an autogenous cartilage wedge
Autore:
Ou, LF; Yan, RS; Tang, YW;
Indirizzi:
Taichung Vet Gen Hosp, Div Plast & Reconstruct Surg, Taichung, Taiwan Taichung Vet Gen Hosp Taichung Taiwan econstruct Surg, Taichung, Taiwan
Titolo Testata:
BRITISH JOURNAL OF PLASTIC SURGERY
fascicolo: 7, volume: 54, anno: 2001,
pagine: 573 - 580
SICI:
0007-1226(200110)54:7<573:FEOTAI>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
TOTAL EAR RECONSTRUCTION; CONCHA-TYPE MICROTIA; 2-FLAP METHOD; FRAMEWORK; GRAFTS; EXPERIENCE; DEFORMITIES; SPLINT; DEFECT;
Keywords:
microtia; retroauricular fascia; autogenous costal-cartilage wedge;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Ou, LF Taichung Vet Gen Hosp, Div Plast & Reconstruct Surg, 160,Sect 3,Taichung Kang Rd, Taichung, Taiwan Taichung Vet Gen Hosp 160,Sect 3,Taichung Kang Rd Taichung Taiwan
Citazione:
L.F. Ou et al., "Firm elevation of the auricle in reconstruction of microtia with a retroauricular fascial flap wrapping an autogenous cartilage wedge", BR J PL SUR, 54(7), 2001, pp. 573-580

Abstract

During conventional reconstruction of the auricle in patients with microtia, simply separating the auricle from the mastoid region with a full-thickness skin graft usually fails to create firm elevation and sufficient projection. To achieve frontal symmetry is difficult, and sometimes the normal auricle needs to be set back. We reconstructed the auricle in patients with microtia in two major stages using a modified Nagata's method. Using a wide W-incision skin flap, the first stage includes implantation of a cartilage framework and transposition of the ear lobule. Our modification lies in thesecond stage. Instead of using the superficial temporoparietal fascial flap, we elevated a retroauricular fascial flap from the mastoid region, turning it over to wrap an autogenous costal-cartilage wedge, and covered it with a full-thickness skin graft. Between June 1996 and May 1999, eight patients underwent this operation. All the fascial flaps and overlying full-thickness skin grafts survived well. The advantages of our technique include firm elevation, good frontal projection and a natural appearance of the posterior aspect of the ear. Additionally, by using this fast and practical procedure, we avoid creating additional scars on the scalp and preserve the superficial temporoparietal fascia and superficial temporal vessels. (C) 2001 The British Association of Plastic Surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 14:18:30