Abstract
The Auricular deformity of congenital microtia (Grade-llll can cause devastating physical and psychological trauma in children. liven crude duplications of the normal ear are of great emotional value to the child or adult who is horn with only a nubbin. Diverse materials ranging from altografts (polyethylene, nylon mesh. Teflon. Silicone,etc), cartilage homo and hcterografts haw been tried for framework construction of the ear. Converge (1985) and Tanzer (1959) popularized the use of autogenous rib cartilage, carved in a solid block. We describe our experience with autogenous costal cartilage graft as framework for total auricular reconstruction in 13 patients (15 ears) with congenital microlia(grade-lll). Atresia repair was performed in two patients. with bilateral grade-Ill deformity.
Keywords: Auricular Reconstruction, Autogenous Costal Cartilage, Microtia
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References
- 1.Aguilar E.A., Jahrsdoerfer R.A. The surgical repair of congenital microtia and atresia. Otolaryngol. Head Neck Surg. 1988;98:600–600. doi: 10.1177/019459988809800612. [DOI] [PubMed] [Google Scholar]
- 2.Aguilar E.F. Auricular reconstruction of congenital microtia(Grade HI) Laryngoscope. 1996;106:1–1. doi: 10.1097/00005537-199612001-00001. [DOI] [PubMed] [Google Scholar]
- 3.Bren B. The correction of microtia with autogenous cartilage grafts. I. The classic deformity. Plast. Reconstr. Surg. 1980;66:l–l. doi: 10.1097/00006534-198007000-00002. [DOI] [PubMed] [Google Scholar]
- 4.Brent B. The correction of microtia with autogenous cartilage grafts. II. Atypical and complex deformities. Plast. Reconstr. Surg. 1980;66:13–13. doi: 10.1097/00006534-198007000-00002. [DOI] [PubMed] [Google Scholar]
- 5.Brent B. Total auricular construction with sculpted costal cartilage. In: Brent B., editor. The Artistry of Reconstructive Surgery. St. Louis: C. V. Mosby Co.; 1987. pp. 113–113. [Google Scholar]
- 6.Converse J.M. Reconstruction of the auricle. Plast. Reconstr. Surg. 1958;22:150–150. doi: 10.1097/00006534-195809000-00006. [DOI] [PubMed] [Google Scholar]
- 7.Fukuda O. The microtic ear: survey of 180 cases in 10 years. Plast. Reconstr.Surg. 1974;66:13–13. [PubMed] [Google Scholar]
- 8.Tanzer R.C. Total reconstruction of the external ear. Plast. Reconstr. Surg. 1959;23:l–l. doi: 10.1097/00006534-195901000-00001. [DOI] [PubMed] [Google Scholar]
- 9.Tanzer R.C. Total reconstruction of the auricle. The evolution of a plan of treatment. Plast.Reconstr. Surg. 1971;47:523–523. doi: 10.1097/00006534-197106000-00001. [DOI] [PubMed] [Google Scholar]