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Clinical Experience of Sturdy Elevation of the Reconstructed Auricle

BACKGROUND: The ear is composed of elastic cartilage as its framework, and is covered with a thin layer of skin. Auricular reconstruction using autogenous cartilage in microtia patients requires delicacy. This paper reports clinical experiences related to elevation of reconstructed ear in the last 1...

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Autores principales: Choi, Jeong-Hwan, Kim, Ju-Chan, Kim, Min-Su, Kim, Myung-Hoon, Lee, Keun-Cheol, Kim, Seok-Kwun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Cleft Palate-Craniofacial Association 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556706/
https://www.ncbi.nlm.nih.gov/pubmed/28913181
http://dx.doi.org/10.7181/acfs.2014.15.1.1
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author Choi, Jeong-Hwan
Kim, Ju-Chan
Kim, Min-Su
Kim, Myung-Hoon
Lee, Keun-Cheol
Kim, Seok-Kwun
author_facet Choi, Jeong-Hwan
Kim, Ju-Chan
Kim, Min-Su
Kim, Myung-Hoon
Lee, Keun-Cheol
Kim, Seok-Kwun
author_sort Choi, Jeong-Hwan
collection PubMed
description BACKGROUND: The ear is composed of elastic cartilage as its framework, and is covered with a thin layer of skin. Auricular reconstruction using autogenous cartilage in microtia patients requires delicacy. This paper reports clinical experiences related to elevation of reconstructed ear in the last 11 years. METHODS: This study was based on 68 congenital microtia patients who underwent auricular elevation in our hospital. Among these 68 patients, 47 patients were recruited. We compared the differences in the ear size, auriculocephalic angle, and conchal depth with those in the opposite ear, and the patients' satisfaction levels were investigated using a survey. RESULTS: The difference in the sizes of the two ears was less than or equal to 5 mm in 32 patients, 5 to 10 mm in 10 patients, and greater than or equal to 10 mm in 5 patients. The difference in the auriculocephalic angles of the two ears was less than or equal to 10 degrees in 14 patients, 10 to 20 degrees in 26 patients, and greater than or equal to 20 degrees in 7 patients. The difference in the conchal depths of the two ears was less than or equal to 5 mm in 24 patients, 5 to 10 mm in 19 patients, and greater than or equal to 10 mm in 4 patients. The average grade of 3.9 points out of 5 points was obtained by the patients with satisfactory surveys. CONCLUSION: We could make enough protrusion and maintain the three-dimensional shape for a long time to satisfy our patients.
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spelling pubmed-55567062017-09-14 Clinical Experience of Sturdy Elevation of the Reconstructed Auricle Choi, Jeong-Hwan Kim, Ju-Chan Kim, Min-Su Kim, Myung-Hoon Lee, Keun-Cheol Kim, Seok-Kwun Arch Craniofac Surg Original Article BACKGROUND: The ear is composed of elastic cartilage as its framework, and is covered with a thin layer of skin. Auricular reconstruction using autogenous cartilage in microtia patients requires delicacy. This paper reports clinical experiences related to elevation of reconstructed ear in the last 11 years. METHODS: This study was based on 68 congenital microtia patients who underwent auricular elevation in our hospital. Among these 68 patients, 47 patients were recruited. We compared the differences in the ear size, auriculocephalic angle, and conchal depth with those in the opposite ear, and the patients' satisfaction levels were investigated using a survey. RESULTS: The difference in the sizes of the two ears was less than or equal to 5 mm in 32 patients, 5 to 10 mm in 10 patients, and greater than or equal to 10 mm in 5 patients. The difference in the auriculocephalic angles of the two ears was less than or equal to 10 degrees in 14 patients, 10 to 20 degrees in 26 patients, and greater than or equal to 20 degrees in 7 patients. The difference in the conchal depths of the two ears was less than or equal to 5 mm in 24 patients, 5 to 10 mm in 19 patients, and greater than or equal to 10 mm in 4 patients. The average grade of 3.9 points out of 5 points was obtained by the patients with satisfactory surveys. CONCLUSION: We could make enough protrusion and maintain the three-dimensional shape for a long time to satisfy our patients. The Korean Cleft Palate-Craniofacial Association 2014-04 2014-04-10 /pmc/articles/PMC5556706/ /pubmed/28913181 http://dx.doi.org/10.7181/acfs.2014.15.1.1 Text en © 2014 The Korean Cleft Palate-Craniofacial Association http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Choi, Jeong-Hwan
Kim, Ju-Chan
Kim, Min-Su
Kim, Myung-Hoon
Lee, Keun-Cheol
Kim, Seok-Kwun
Clinical Experience of Sturdy Elevation of the Reconstructed Auricle
title Clinical Experience of Sturdy Elevation of the Reconstructed Auricle
title_full Clinical Experience of Sturdy Elevation of the Reconstructed Auricle
title_fullStr Clinical Experience of Sturdy Elevation of the Reconstructed Auricle
title_full_unstemmed Clinical Experience of Sturdy Elevation of the Reconstructed Auricle
title_short Clinical Experience of Sturdy Elevation of the Reconstructed Auricle
title_sort clinical experience of sturdy elevation of the reconstructed auricle
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556706/
https://www.ncbi.nlm.nih.gov/pubmed/28913181
http://dx.doi.org/10.7181/acfs.2014.15.1.1
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