Auricular Reconstruction by Francoise Firmin Joseph R. Dusseldorp Alexandre Marchac

Author:Francoise Firmin,Joseph R. Dusseldorp,Alexandre Marchac
Language: eng
Format: epub
Publisher: Thieme Medical Publishing Inc.
Published: 2017-03-16T04:00:00+00:00

CHAPTER 6

Acquired Posttraumatic Defects

In this chapter we will consider acquired total and subtotal defects of the ear. These cases differ significantly from congenital cases of microtia, because elements of the previously normal ear may still exist, and because the scars must be considered when planning the skin approach.

Although the principles of the two-stage autologous technique were developed for microtia, we have also found them to be very useful in the management of acquired defects of the ear. Through our experience, we have developed a separate set of principles specific to acquired defects of the ear.

Acquired ear deformities have many causes, including motor vehicle accidents, burns, surgical excision, and animal and human bites. Regardless of the cause, a precise analysis of the local condition of the ear and surrounding skin is necessary. There are three categories of indications for reconstruction:

1. The defect is limited to the ear, with good retroauricular skin.

2. The defect is limited to the ear, with poor retroauricular skin.

3. The defect extends beyond the auricular region.

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