A near closed book contracture of the ear: a case report.
An unusual post-burn ear contracture, involving crus helicis, cymba conchae, tragus and antihelix, with anterior vertical folding of the ear on itself, like a closed book, has been described. The contracture was completely released and the resultant raw area was covered by a full thickness skin graft, harvested from the opposite post-auricular area. The crippled ear cartilage was still folded anteriorly at the level of the concha, regardless of complete release, due to long standing childhood burns. Three months later, concha-mastoid suturing was carried out to give the ear its normal shape and erect, prominent position. Four years of follow up showed, an aesthetically good-looking ear with satisfactory position.
Saraiya
H A
HA
Sushruta Plastic Surgery Research Center, Ahmedabad, India. drhemantsaraiya@hotmail.com
D000293:Adolescent; D002056:Burns / Q000150:complications*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D004426:Ear Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D004431:Ear, External / Q000293:injuries* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008416:Mastoid / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods; D013536:Suture Techniques