Optimal Surgery Sequence in Constricted Ear Treatment with Free Auricular Composite Grafts
YANG Mei
ZHAO Yanyong
JIANG Haiyue
PAN Bo
LIN Lin
HAN Jingjian
Abstract:Object To compare two sequences of operations for the treatment of congenital unilateral moderate constrict-ed ears. Methods A total of 18 patients with constricted ears seen between March 1, 2010, and July 31, 2013 were selected to be in Group A if showing significant constriction, or in Group B if drooping of upper auricle was the main deformity. For Group A, a free auricular composite graft from the opposite normal ear was harvested and wedged into the affected ear during the first-stage, and a second-stage operation on the constricted ear was performed 6-12 months after the successful grafting. Patients in Group B underwent reconstruction with reversed operative sequence. Results All patients showed reliable, consis-tent esthetic results with good symmetry between the affected and normal ears and few relapses or serious complications. Most patients were satisfied with the outcomes. Conclusions Both operation sequences are considered effective for the correction of moderate constricted ear deformity. Adequate preoperative evaluation and proper operative sequence selection are the key for treatment success.
Keywords:Constricted earfree auricular composite graftoperative sequence
Publication Date:2013-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 536-539 )
