[Partial loss of the auricle: multiphase reconstruction and complete preservation of the helix].
The loss of the auricle is a dramatic event in terms of aesthetics of the face. Secondary reconstruction of the ear is difficult and complicated. Therefore, a replantation of the amputated part should be tried. Proper securing and transport of the amputate is essential, in addition to the patient being sent to a specialized clinic. An anatomically correct form of the auricle is necessary for successful reconstruction of the ear. The amputated auricular cartilage is denuded of the skin except for the helical portion and is inserted into a retroauricular pocket. The helix is treated as a composite graft. After 1 to 2 months, the replanted auricular cartilage is elevated, adapted to the remaining ear stump and covered with a skin graft retroauricularly. By means of a representative case, a replantation method is demonstrated which allows complete reconstruction of the helix. In consequence, the replanted ear does not show any deficits compared with the original state.
Klinik für Mund-, Kiefer- und Gesichtschirurgie/Plastische Chirurgie, Friedrich-Schiller-Universität Jena.
P
P
Hyckel
C
C
Robotta
D
D
Schumann
D002648:Child; D004425:Ear Cartilage / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012092:Replantation / Q000379:methods
Partieller Ohrmuschelverlust. Mehrphasige Rekonstruktion unter vollständigem Erhalt der Helix.