Total Reconstruction of the Auricle: Our Experiences on Indications and Recent Techniques

نویسندگان

  • K. Storck
  • R. Staudenmaier
  • M. Buchberger
  • T. Strenger
  • K. Kreutzer
  • A. von Bomhard
  • T. Stark
چکیده

INTRODUCTION Auricular reconstruction is a great challenge in facial plastic surgery. With the advances in surgical techniques and biotechnology, different options are available for consideration. The aim of this paper is to review the knowledge about the various techniques for total auricular reconstruction based on the literature and our experience. METHODS Approximately 179 articles published from 1980 to 2013 were identified, and 59 articles were included. We have focused on the current status of total auricular reconstruction based on our personal experience and on papers of particular interest, published within the period of review. We have also included a prospective view on the tissue engineering of cartilage. RESULTS Most surgeons still practice total auricular reconstruction by employing techniques developed by Brent, Nagata, and Firmin with autologous rib cartilage. Within the last years, alloplastic frameworks for reconstruction have become well established. Choosing the reconstruction techniques depends mainly on the surgeon's preference and experience. Prosthetic reconstruction is still reserved for special conditions, even though the material is constantly improving. Tissue engineering has a growing potential for clinical applicability. CONCLUSION Auricular reconstruction still receives attention of plastic/maxillofacial surgeons and otolaryngologists. Even though clinical applicability lags behind initial expectations, the development of tissue-engineered constructs continues its potential development.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Rehabilitation of an Auricular Defect Using Surgical Stent

Reconstruction of a facial defect is a complex modality either surgically or prosthetically, depending on the site, size, etiology, severity, age, and the patient’s expectation. Loss of an auricle, in the presence of an auditory canal, affects hearing, because the auricle gathers sound and directs it into the canal. The auricle acts as a resonator to slightly amplify lower frequency sound...

متن کامل

Auricular reconstruction: indications for autogenous and prosthetic techniques.

LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Describe the alternatives for auricular reconstruction. 2. Discuss the pros and cons of autogenous reconstruction of total or subtotal auricular defects. 3. Enumerate the indications for prosthetic reconstruction of total or subtotal auricular defects. 4. Understand the complexity of and the expertise require...

متن کامل

National Joint Registry of Iran

Joint replacement is currently on the rise with a high community burden. A registry was designed to evaluate the costs,possible complications, and rate of revisions as well as finding the most effective techniques, risk factors associatedwith poor results, indications for revision surgeries, and also demographic evaluation of patients undergoing jointreplacement surgery in Iran. Level of eviden...

متن کامل

Educational needs of nurses on medicine use, indications and optic surgery ‎techniques

Introduction: Today, nurses in order to implement successful nursing care need variety of ‎knowledge on techniques of surgery in different operations. By knowing the level of ‎knowledge and practice of nurses, their educational needs can be determined.‎  Objective: This study aims to determine the educational needs of nurses on medicine use, its ‎indications and optic su...

متن کامل

MODIFIED RADICAL MASTOIDECTOMY: TECHNIQUES TO DECREASE FAILURE

The aims of surgical treatment for cholesteatoma include complete removal of disease and formation of a dry, self cleaning ear in addition to hearing reconstruction. This presentation concentrates on techniques of open mastoid surgery or modified radical mastoidectomy to achieve a well-constructed cavity. This study analyzes both primary and revision mastoid surgery referred to the author. ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 2014  شماره 

صفحات  -

تاریخ انتشار 2014