By R. Staudenmaier, P.J. Bradley
Ear reconstruction has built from the only plastic reconstruction of the auricle to a extra advanced technique that incorporates the sensible rehabilitation of listening to. For the patient's gain the variety of surgical procedures will be lowered to 2 or 3 whereas nonetheless preserving very good effects. This improvement is because of advancements in surgeries in addition to technical advancements equivalent to bone-anchored listening to aids or cochlear implants. The authors of this quantity have thought of varied facets of reconstruction of critical 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 aren't defined in isolation, yet near to advancements in sufferers' listening to, really within the context of bone-anchored and implantable listening to aids. comparable fields, akin to tissue engineering, carry sizeable untapped capability for this sector. The impression they're going to have sooner or later is mentioned intimately, supporting to color an image of healing procedures that might develop into on hand to execs. This quantity is an integral evaluation that may be of curiosity to otorhinolaryngologists, plastic surgeons, maxillofacial surgeons and pediatricians.
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Additional info for Aesthetics and Functionality in Ear Reconstruction (Advances in Oto-Rhino-Laryngology, Vol. 68)
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.
J Fr Otorhinolaryngol Audiophonol Chir Maxillofac 1996;31:271–331. 12 Firmin F: Intérêt de l’expansion tissulaire dans la reconstruction totale du pavillon de l’oreille. Ann Chir Plast Esthet 1996;41:495–502. 13 Firmin F: Microtie: reconstruction par la technique de Brent. Ann Chir Plast Esthet 1992;37:119–131. 14 Romo T, Presti PM, Yalamanchili HR: Medpor alternative for microtia repair. Facial Plast Surg Clin North Am 2006;14:129–136. 15 Matsunag T: Follow-up study of reconstructed auricle in microtia: comparison of the results of the rib cartilage framework and the silicone rubber framework methods.
Its elasticity and softness of only 1–2 mm strength means that it is possible to construct an exceptionally fine ear, with all its nuances . Disadvantages of Rib Cartilage Frames Most professionals prefer to use autogenous rib cartilage when reconstructing the auricle. Nonetheless, rib cartilage does have various disadvantages. Due to the 54 Berghaus · Stelter · Naumann · Hempel somewhat unpredictable behavior of rib cartilage, the esthetic results are often unsatisfactory because it bends out of shape or is re-absorbed [1, 19].