Reconstruction of Upper Third Auricular Defects

The objective of this article is to summarize the current methodology for addressing upper third auricular defects based on comprehensive literature review and the senior author′s experience. Partial thickness defects may be addressed using secondary intent, primary closure, excision of exposed cart...

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Bibliographic Details
Published in:Operative techniques in otolaryngology--head and neck surgery 2017-06, Vol.28 (2), p.105-113
Main Authors: Sivam, Sunthosh K., MD, Taylor, Christine B., MD, Stallworth, Christian L., MD
Format: Article
Language:English
Subjects:
Auricular reconstruction
Ear reconstruction
Otolaryngology
Surgery
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Summary:The objective of this article is to summarize the current methodology for addressing upper third auricular defects based on comprehensive literature review and the senior author′s experience. Partial thickness defects may be addressed using secondary intent, primary closure, excision of exposed cartilage followed by primary closure, or use of skin grafting. This decision is often dictated by the status of the perichondrium. Small full thickness defects (2.0 cm) can often be facilitated by pedicled flaps that require detailed knowledge of the surrounding blood supply. There are a variety of solutions available for the reconstructive surgeon to effectively address this unique challenge.
ISSN:1043-1810
1557-9395
DOI:10.1016/j.otot.2017.03.008