BOOK
Cosmetic and Reconstructive Surgery of Congenital Ear Deformities, An Issue of Facial Plastic Surgery Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Facial Plastic Surgery Clinics, Guest Edtied by Dr. Scott Stephan, is devoted to Cosmetic and Reconstructive Surgery of Congenital Ear Deformities. Articles in this issue include: Molding Therapy for Infants with Deformational Auricular Anomalies; Evidence-based Review of Otoplasty Techniques; Cosmetic Otoplasty; Otoplasty for Congenital Auricular Malformations; Autologous Rib Microtia Reconstruction: Nagata Rechnique; Autologous Rib Microtia Reconstruction: Modified Brent Technique; Porous Polyethylene Microtia Reconstruction; Atresiaplasty in Congenital Aural Atresia; and Auricular Prosthesis.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Cosmetic andReconstructive Surgeryof Congenital EarDeformities\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | v | ||
| Preface: Cosmetic and Reconstructive Surgery of Congenital Ear Deformities | v | ||
| Nonsurgical Management of Congenital Auricular Anomalies | v | ||
| Surgical Otoplasty: An Evidence-Based Approach to Prominent Ears Correction | v | ||
| Cosmetic Otoplasty | v | ||
| Otoplasty for Congenital Auricular Malformations | v | ||
| Autologous Rib Microtia Construction: Nagata Technique | vi | ||
| Pediatric Microtia Reconstruction with Autologous Rib: Personal Experience and Technique with 1000 Pediatric Patients with ... | vi | ||
| Auricular Reconstruction Using Porous Polyethylene Implant Technique | vi | ||
| Atresiaplasty in Congenital Aural Atresia: What the Facial Plastic Surgeon Needs to Know | vi | ||
| Auricular Prostheses in Microtia | vii | ||
| FACIAL PLASTIC SURGERY CLINICS\rOF NORTH AMERICA\r | viii | ||
| FORTHCOMING ISSUES | viii | ||
| May 2018 | viii | ||
| August 2018 | viii | ||
| November 2018 | viii | ||
| RECENT ISSUES | viii | ||
| November 2017 | viii | ||
| August 2017 | viii | ||
| May 2017 | viii | ||
| Preface\r | ix | ||
| Cosmetic and Reconstructive Surgery of Congenital Ear Deformities | ix | ||
| Nonsurgical Management of Congenital Auricular Anomalies | 1 | ||
| Key points | 1 | ||
| INTRODUCTION | 1 | ||
| HISTORY OF TECHNIQUE | 2 | ||
| CURRENT METHODOLOGY | 2 | ||
| Timing of Molding | 2 | ||
| Patient Selection | 3 | ||
| Available Molds | 3 | ||
| Technique | 4 | ||
| Application of EarWell Prefabricated Molding Device | 4 | ||
| Application of Custom or Prefabricated Wire | 4 | ||
| Treatment Course | 4 | ||
| Complications | 4 | ||
| EVIDENCE | 4 | ||
| CHALLENGES AND CONTROVERSIES | 6 | ||
| FUTURE DIRECTIONS | 7 | ||
| REFERENCES | 7 | ||
| Surgical Otoplasty | 9 | ||
| Key points | 9 | ||
| INTRODUCTION | 9 | ||
| PATIENT ASSESSMENT | 9 | ||
| ANATOMY | 10 | ||
| PROMINENT EAR CORRECTION TECHNIQUES | 11 | ||
| Cartilage-Cutting Techniques | 11 | ||
| Anterior Scoring or Burring | 11 | ||
| Posterior Suturing | 12 | ||
| Incisionless Otoplasty | 14 | ||
| Implants | 14 | ||
| Comparative Studies | 15 | ||
| Secondary Otoplasty | 16 | ||
| Other Techniques | 16 | ||
| SUMMARY | 16 | ||
| REFERENCES | 16 | ||
| Cosmetic Otoplasty | 19 | ||
| Key points | 19 | ||
| INTRODUCTION | 19 | ||
| EMBRYOLOGY | 19 | ||
| SURFACE ANATOMY | 20 | ||
| NEUROVASCULAR SUPPLY | 20 | ||
| AURICULAR MUSCULATURE | 20 | ||
| NORMAL ANTHROPOMETRIC FEATURES | 20 | ||
| PROMINAURIS | 22 | ||
| OTOPLASTY HISTORY | 22 | ||
| OTOPLASTY FOR PROMINAURIS TECHNIQUES: CARTILAGE-CUTTING VERSUS CARTILAGE-SPARING | 23 | ||
| CARTILAGE-CUTTING OTOPLASTY | 23 | ||
| CARTILAGE-SPARING OTOPLASTY | 24 | ||
| LOBULE MANAGEMENT | 25 | ||
| COMPLICATIONS | 27 | ||
| SUMMARY | 28 | ||
| REFERENCES | 28 | ||
| Otoplasty for Congenital Auricular Malformations | 31 | ||
| Key points | 31 | ||
| INTRODUCTION | 31 | ||
| CRYPTOTIA | 31 | ||
| STAHL EAR | 32 | ||
| CONSTRICTED EAR/CUP EAR/LOP EAR/SATYR EAR | 32 | ||
| MACROTIA | 33 | ||
| TREATMENT TECHNIQUES | 33 | ||
| Cryptotia | 34 | ||
| Stahl Ear | 34 | ||
| Cup Ear | 35 | ||
| Lop Ear | 38 | ||
| Macrotia | 38 | ||
| SUMMARY | 38 | ||
| REFERENCES | 38 | ||
| Autologous Rib Microtia Construction | 41 | ||
| Key points | 41 | ||
| INTRODUCTION | 41 | ||
| EAR LOCATION | 41 | ||
| DIMENSION OF EAR SHAPE | 42 | ||
| EAR SHAPE ANALYSIS | 42 | ||
| PREOPERATIVE PLANNING | 43 | ||
| Timing of Surgery | 43 | ||
| Check the Skin Quality | 43 | ||
| Identify Auricular Rectangle | 43 | ||
| Avoid Dissecting “Preauricular Trapezoid” | 44 | ||
| Managing Hairline | 44 | ||
| Ear-Positioning Template | 45 | ||
| Dystopic Vestige | 45 | ||
| Special Consideration for Secondary Construction | 46 | ||
| SURGICAL TECHNIQUES | 46 | ||
| First Stage | 46 | ||
| Preoperative marking after intubation, before preparation | 46 | ||
| Ear template | 46 | ||
| Lobule split technique | 46 | ||
| Design of anterior lobule flap | 47 | ||
| Design of posterior flap | 47 | ||
| Avoid skin dissection in the “preauricular trapezoid” | 47 | ||
| Skin pocket dissection | 47 | ||
| The amount of subcutaneous pedicle | 48 | ||
| Harvesting rib cartilage | 48 | ||
| Balance between the amount of skin envelope and the height of 3D framework | 48 | ||
| Three-dimensional framework construct | 49 | ||
| Fixation materials for 3D framework | 49 | ||
| Temporary suction to adapt the skin envelope | 49 | ||
| Skin trimming | 49 | ||
| Bolster sutures | 49 | ||
| Postoperative care | 49 | ||
| Second Stage | 50 | ||
| Secondary Ear Reconstruction | 51 | ||
| A case of secondary rib cartilage microtia construction | 51 | ||
| LONG-TERM OUTCOMES | 53 | ||
| COMPLICATIONS | 53 | ||
| Skin Flap Necrosis | 53 | ||
| Infection | 53 | ||
| Cartilage Resorption | 54 | ||
| Wire Extrusion | 54 | ||
| SIMULATION TRAINING | 54 | ||
| SUMMARY | 54 | ||
| REFERENCES | 54 | ||
| Pediatric Microtia Reconstruction with Autologous Rib | 57 | ||
| Key points | 57 | ||
| INTRODUCTION | 57 | ||
| CLASSIFICATION | 57 | ||
| EVALUATION AND MANAGEMENT | 58 | ||
| TIMING OF AUTOLOGOUS CARTILAGE RECONSTRUCTION | 58 | ||
| THE FIRST SURGICAL STAGE (CARTILAGE HARVESTING FROM RIB CAVITY) | 59 | ||
| First-Stage Introduction | 59 | ||
| First-Stage Technique | 59 | ||
| THE SECOND SURGICAL STAGE (FORMATION OF THE EARLOBE AND DEEPENING OF THE CONCHAL BASE) | 62 | ||
| Second-Stage Introduction | 62 | ||
| Second-Stage Technique | 62 | ||
| THE THIRD SURGICAL STAGE (ELEVATION OF THE EAR): HYBRID APPROACH | 63 | ||
| Third-Stage Technique | 63 | ||
| COMPLICATIONS | 66 | ||
| SUMMARY | 68 | ||
| REFERENCES | 68 | ||
| Auricular Reconstruction Using Porous Polyethylene Implant Technique | 69 | ||
| Key points | 69 | ||
| INTRODUCTION | 69 | ||
| AURICULAR ALLOPLASTS | 69 | ||
| CONSIDERATIONS FOR HIGH-DENSITY POROUS POLYETHYLENE | 70 | ||
| TECHNIQUE | 70 | ||
| PREP | 70 | ||
| AFTERCARE | 77 | ||
| DISCUSSION | 77 | ||
| RELIABILITY OF POROUS IMPLANTS | 79 | ||
| COVERAGE OF THE ENTIRE FRAMEWORK WITH THE VASCULARIZED TEMPOROPARIETAL FASCIA FLAP | 80 | ||
| INCLUSION OF THE SUBGALEAL (AREOLAR) FASCIA WITH THE TEMPOROPARIETAL FASCIA FLAP | 81 | ||
| REINFORCEMENT OF THE PHDPE FRAMEWORK | 81 | ||
| OCCIPITAL PARIETAL FLAP | 81 | ||
| HARVEST OF A WIDE-BASED TEMPOROPARIETAL FASCIA FLAP | 82 | ||
| FUTURE DEVELOPMENTS | 83 | ||
| SUMMARY | 84 | ||
| REFERENCES | 84 | ||
| Atresiaplasty in Congenital Aural Atresia | 87 | ||
| Key points | 87 | ||
| INTRODUCTION | 87 | ||
| ASSESSING HEARING | 88 | ||
| HEARING HABILITATION | 88 | ||
| NONSURGICAL REPAIR | 89 | ||
| SURGICAL REPAIR | 89 | ||
| Who Should Perform Microtia/Atresia Surgery? | 89 | ||
| Need for Microtia Reconstruction | 89 | ||
| Surgical Candidacy for Atresia Repair | 90 | ||
| Who Goes First: Reconstructive Surgeon or Otologist? | 91 | ||
| Rib graft microtia repair | 91 | ||
| Medpor/SuPor microtia repair | 91 | ||
| HEARING OUTCOMES | 92 | ||
| IMPORTANT CONSIDERATIONS | 93 | ||
| The Presence of Cholesteatoma | 93 | ||
| The Conchal Bowl and Tragus | 93 | ||
| The Facial Nerve | 94 | ||
| Revision Surgery | 94 | ||
| SUMMARY | 94 | ||
| REFERENCES | 95 | ||
| Auricular Prostheses in Microtia | 97 | ||
| Key points | 97 | ||
| INTRODUCTION | 97 | ||
| COUNSELING OF PATIENTS WITH MICROTIA | 98 | ||
| AURICULAR PROSTHESES AS A TEMPORARY MEASURE | 99 | ||
| AURICULAR PROSTHESES AS A RESCUE PROCEDURE IN FAILED RECONSTRUCTION | 99 | ||
| AURICULAR PROSTHESES AS A DEFINITIVE TREATMENT OPTION | 100 | ||
| OPTIONS FOR RETENTION OF AURICULAR PROSTHESES | 100 | ||
| OSSEOINTEGRATION | 101 | ||
| IMPLANT SYSTEMS | 101 | ||
| PLANNING IMPLANT POSITION | 102 | ||
| SURGICAL TECHNIQUE | 102 | ||
| OUTCOME FOR IMPLANT-RETAINED AURICULAR PROSTHESES | 103 | ||
| SUMMARY | 103 | ||
| REFERENCES | 104 |