A novel method of naturally contouring the reconstructed ear: modified antihelix complex affixed to grooved base frame.
BACKGROUND
Prior reports of ear reconstruction have cited favorable results. Although greater attention has been devoted to fabricating a more refined cartilaginous framework, many patients still complain that the contours are unnatural. The authors' aim was to offer a new technique that resolves some lingering issues.


METHODS
To fabricate the antihelix complex optimally, the authors modified an existing method. Rather than chiseling a sharp, Y-shaped graft of cartilage for structural prominence, the superior crus is broadened, and a gentle slope is sculpted on both aspects. Simultaneously, a groove in the base frame is carved for smooth attachment. The width of the inferior crus is limited to roughly one-third that of the superior crus, and the inferior crus is maintained in high relief. A gentle slope is shaped on the antihelix, and a groove for placement of the antihelix is carved into the base frame.


RESULTS
Between 2011 and 2013, a total of 162 patients underwent reconstruction using this modified technique. Three such subjects have been selected to highlight the favorable results achieved. Given modifications confer natural contours to superior and inferior crura, antihelix, and surrounding structures, providing a cohesive framework for the integrity of a reconstructed ear.


CONCLUSIONS
The antihelix complex is critical for creating a natural auricle. Harmonious integration of superior and inferior crura and antihelix enhances the overall aesthetics, increasing procedural satisfaction for patient and surgeon alike.


METHODS
Therapeutic, IV.
Shanghai, People's Republic of China From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine.
Datao
D
Li
Ruhong
R
Zhang
Qun
Q
Zhang
Zhicheng
Z
Xu
Feng
F
Xu
Yiyuan
Y
Li
Nan
N
Sun
Cheng
C
Wang
D000293:Adolescent; D000328:Adult; D002648:Child; D002921:Cicatrix / Q000601:surgery; D000013:Congenital Abnormalities / Q000473:pathology / Q000601:surgery*; D065817:Congenital Microtia; D004423:Ear / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D004425:Ear Cartilage / Q000601:surgery*; D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012272:Ribs; D013536:Suture Techniques; D016896:Treatment Outcome; D055815:Young Adult