Singh Kuldeep, Beniwal Meenu, Sharma Abhishek, Singh Paritev, Kumar Akshay
Department of Burns and Plastic Surgery, Pt. B.D.Sharma PGIMS Rohtak, 1150 Sector 1, Rohtak, Haryana 124001 India.
Department of Health, Haryana, Rohtak, India.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):1825-1835. doi: 10.1007/s12070-023-04420-x. Epub 2023 Dec 27.
Auricle is the outward visible part of ear and composed of skin and cartilage. Auricle due to its standout and projected position is more vulnerable to get injured and cause distortion of the facial aesthetics. Reconstruction of the ear defect should be individualized depending on the defect size, location, nearby skin, patient requirement and surgeon experience. To present the results of various reconstructive options for partial ear defect which will aid in decision making among reconstructive options available. Reconstruction was individualized considering the defect size, depth, location, surrounding skin. In upper 1/3 defect reconstructive options include Antia-Buch chondrocutaneous advancement flap, autogenous cartilage with temporoparietal fascial flap, for middle 1/3 defect options include retroauricular soft tissue tube flap, diefenbach procedure, Autogenous cartilage graft and temporoparietal fascial flap, for lower 1/3 defect reconstructive options include pre auricular flap, triangular repair method, Zenteno Alanis technique. Reconstruction with various techniques results in aesthetically good outcomes. There is no major complication seen in any patient. Reconstruction of ear defect with various options available has good outcome. Planning is important part in reconstruction process. Reconstructive option chosen for a ear defect should be individualized depending on patient characteristics, surgeon experience.
耳廓是耳朵向外可见的部分,由皮肤和软骨组成。耳廓因其突出和突出的位置更容易受伤,并导致面部美学的扭曲。耳部缺损的重建应根据缺损大小、位置、附近皮肤、患者需求和外科医生经验进行个体化处理。为了展示部分耳部缺损的各种重建方案的结果,这将有助于在可用的重建方案中做出决策。重建是根据缺损大小、深度、位置、周围皮肤进行个体化的。对于上1/3缺损,重建方案包括Antia-Buch软骨皮瓣推进术、自体软骨联合颞顶筋膜瓣;对于中1/3缺损,方案包括耳后软组织管瓣、迪芬巴赫手术、自体软骨移植和颞顶筋膜瓣;对于下1/3缺损,重建方案包括耳前皮瓣、三角形修复法、森特诺·阿拉尼斯技术。采用各种技术进行重建可获得美观的效果。任何患者均未出现重大并发症。采用各种可用方案重建耳部缺损效果良好。规划是重建过程中的重要环节。针对耳部缺损选择的重建方案应根据患者特征、外科医生经验进行个体化。