title: [Management after expanded flap ulceration during auricular reconstruction].
abstract: OBJECTIVE
  To investigate the feasibility of Brent I methods for total auricular reconstruction when expanded flap ulceration happened.
  
  
  METHODS
  The expanded flaps in the retroauricular region ulcerated during total auricular reconstruction in 8 patients with microtia. Then the expanders were removed and autologous rib cartilage frameworks were implanted. Brent I techniques for the total auricular reconstruction were employed.
  
  
  RESULTS
  All the wounds in 8 patients with microtia healed primarily. The expanded flaps survived completely. The reconstructed ears had good shape and appearance with little hair. The size, shape and position of reconstructed ears were coordinated with the face.
  
  
  CONCLUSIONS
  Brent I technique is an alternative method for total auricular reconstruction when the expanded flap ulceration occurs during total ear reconstruction.
authors.affiliation: Department of Plastic Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.
authors.forename: Xu-Wen
authors.initials: XW
authors.lastname: Li
authors.forename: Qing-Guo
authors.initials: QG
authors.lastname: Zhang
authors.forename: Yang-Chun
authors.initials: YC
authors.lastname: Xie
authors.forename: Tun
authors.initials: T
authors.lastname: Liu
authors.forename: Xu
authors.initials: X
authors.lastname: Zhou
authors.forename: Xue-Feng
authors.initials: XF
authors.lastname: Han
mesh_terms: D000293:Adolescent; D000328:Adult; D054644:Ear Auricle / Q000601:surgery*; D004431:Ear, External; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps; D015626:Tissue Expansion / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult