[Reconstruction of the floor of the auricle in congenital microtia in children].
The data are presented on 329 children (201 boys and 128 girls) with congenital defects of the external and middle ear. Right-side defect occurred twice as frequently as left-side one. Treatment in 45 children with bilateral defects started with reconstructive meatotympanoplasty. Surgical reconstruction has been performed on 106 floors of the auricle. In 51 cases a rib homocartilage and free skin were used (group 1), in 55 cases alloplastic frames were covered with pedicle tissue (group 2). The following complications occurred in group 1: a complete resorption of the cartilage, necrosis of the skin graft, decubitus (5, 5 and 6 cases, respectively). In group 2 there were 5 cases of the pedicle necrosis, 7 cases of the pedicle self-detachment, 7 cases of the frame sequestration, 2 cases of late frame displacement. The floors formed with the use of neck-chest pedicle and compound silicone frame produced the best cosmetic effects.
Vodianitskii
V B
VB
Center of Vascular, Plastic and Reconstructive Microsurgery, Regional Pediatric Clinic Hospital, RF.
D002356:Cartilage / Q000637:transplantation; D002648:Child; D002675:Child, Preschool; D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery*; D004432:Ear, Middle / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D016038:Skin Transplantation; D013518:Surgery, Plastic