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Modeling of the New Auricular Framework

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Ear Reconstruction

Abstract

The A successful result after ear reconstruction is the result of two fundamentals:

  1. 1.

    Adequate surgical planning

  2. 2.

    The creation of two anatomical structures:

    1. (a)

      The A new auricular framework

    2. (b)

      The A new cutaneous covering with a bed adequate to embed the new skeleton

When creating a new auricular framework during reconstruction, selection of material as well as meticulous preparation of the new skeleton are essential. I prefer to remove costal cartilage to meticulously excavate all anatomical details of the new pinna. Undoubtedly the creation of those new anatomical elements is essential to achieve satisfactory surgical results because the new auricular frame must be well curved on the rib cartilage and the new bed must offer an excellent blood supply to the new frame.

The main concepts concerning ear reconstruction may be expressed thus:

  1. 1.

    Behavior of the new bed to provide adequate development of a new perichondrium all around the new auricular cartilage framework

  2. 2.

    Behavior of the preserved perichondrium on donor area to replace a new costal structure to reinstate the chest wall. Therefore, ear reconstruction depends basically of the development of the new perichondrium and the behavior of the costal perichondrium.

Therefore, in order to achieve good surgical results, one must employ proper technique as well as achieve adequate performance of the organic tissues.

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Authors and Affiliations

  1. Brazilian Ear Institute, Al. Gabriel Monteiro da Silva, 620 –Jardim Europa, São Paulo, SP, Brazil

    Juarez M. Avelar MD & Thiago M. Avelar DS

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  1. Juarez M. Avelar MD
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  2. Thiago M. Avelar DS
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Avelar, J.M., Avelar, T.M. (2013). Modeling of the New Auricular Framework. In: Ear Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35683-4_4

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  • DOI: https://doi.org/10.1007/978-3-642-35683-4_4

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