Korean J Otorhinolaryngol-Head Neck Surg.  2016 Jun;59(6):419-423. 10.3342/kjorl-hns.2016.59.6.419.

Reconstruction of Congenital Aural Malformation

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea. ojhent@catholic.ac.kr

Abstract

The complexity of the auricle makes its reconstruction technically difficult, owing to the convexities and concavities of the underlying cartilage with its tightly adherent and thin overlying skin. This article gives an overview of the current practice in the field of auricular reconstruction. The majority of surgeons who perform auricular reconstruction continues to employ the well-established techniques developed by Brent and Nagata. Surgery takes between two and four stages, with the initial stage being construction of a framework of autogenous rib cartilage which is implanted into a subcutaneous pocket. Several modifications of these techniques have been reported. Understanding the various treatment options and having sufficient practice to increase the surgeon's skills are crucial to providing the patients with the best outcomes possible.

Keyword

Congenital microtia; Costal cartilage

MeSH Terms

Cartilage
Congenital Microtia
Costal Cartilage
Humans
Ribs
Skin
Surgeons
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