Aesthetic surgery for microtia.
We describe here a technique for reconstruction of the external ear based upon an autogenous costal cartilage graft which is inserted into a cutaneous pocket dissected in the auricular area. Three subsequent procedures are then performed: rotation of the ear-lobe; reconstruction of the tragus; and elevation of the auricle. The ideal age for reconstruction is about 7 years. This technique was originally described by Brent, who has a very extensive experience with this kind of surgery. Skin deficiencies can be overcome by using either a temporo-parietal fascial flap or a skin expander.
Boudard
P
P
Clinique Universitaire d'ORL de Bordeaux, France.
Benassayag
C
C
Dhillon
R S
RS
Bebear
J P
JP
Portmann
M
M
D002356:Cartilage / Q000637:transplantation; D002648:Child; D004431:Ear, External / Q000002:abnormalities*; D005260:Female; D006085:Graft Survival; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D015625:Tissue Expansion Devices