Objective To report utility of Medpor frameworks in auricular reconstruction and management of frameworks protrusion. Methods Retrorespectively analysis of clinical information in 31 patients who underwent auricular r...Objective To report utility of Medpor frameworks in auricular reconstruction and management of frameworks protrusion. Methods Retrorespectively analysis of clinical information in 31 patients who underwent auricular reconstruction from April 2000 to October 2002. Results All 31 reconstructed auricles were in good condition at two weeks postoperatively. Framework protrusion occurred later in 11 patients. The framework was retained in 8 of these cases after secondary repair, but had to be removed in 3 patients. In 27 patients, the reconstructed auricle was rated as esthetically succesful. Conclusion Medpor framework protrusion is likely to occur when skin tension is high with minimal soft tissue coverage over the framework and can result from impact by strong external force. Despite the concern of protrusion, Medpor frameworks can be used in place of autologous cartilaginous graft in auricular reconstruction.展开更多
Auricular defects resulting from excision of cutaneous malignancies pose a challenge to the reconstructive surgeon due to the complex anatomy,convexities,and concavities of the ear.A surgeon must be familiar with anal...Auricular defects resulting from excision of cutaneous malignancies pose a challenge to the reconstructive surgeon due to the complex anatomy,convexities,and concavities of the ear.A surgeon must be familiar with analyzing defects of the ear and understand the variety of reconstructive options available with the goals of restoring function,re-establishing anatomic units,and achieving aesthetic balance.This review summarizes current methods for reconstruction of partial auricular defects resulting from neoplasm.A brief overview of ear anatomy and aesthetic relationships is also provided.Techniques for the reconstruction are classified by anatomic region:upper-third,middle-third,and lower-third defects.展开更多
文摘Objective To report utility of Medpor frameworks in auricular reconstruction and management of frameworks protrusion. Methods Retrorespectively analysis of clinical information in 31 patients who underwent auricular reconstruction from April 2000 to October 2002. Results All 31 reconstructed auricles were in good condition at two weeks postoperatively. Framework protrusion occurred later in 11 patients. The framework was retained in 8 of these cases after secondary repair, but had to be removed in 3 patients. In 27 patients, the reconstructed auricle was rated as esthetically succesful. Conclusion Medpor framework protrusion is likely to occur when skin tension is high with minimal soft tissue coverage over the framework and can result from impact by strong external force. Despite the concern of protrusion, Medpor frameworks can be used in place of autologous cartilaginous graft in auricular reconstruction.
文摘Auricular defects resulting from excision of cutaneous malignancies pose a challenge to the reconstructive surgeon due to the complex anatomy,convexities,and concavities of the ear.A surgeon must be familiar with analyzing defects of the ear and understand the variety of reconstructive options available with the goals of restoring function,re-establishing anatomic units,and achieving aesthetic balance.This review summarizes current methods for reconstruction of partial auricular defects resulting from neoplasm.A brief overview of ear anatomy and aesthetic relationships is also provided.Techniques for the reconstruction are classified by anatomic region:upper-third,middle-third,and lower-third defects.
