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Repairs of the Ear

  • Sean R. ChristensenEmail author
  • Christopher R. Stamey
Chapter

Abstract

The external ear, or auricle, is a complex three-dimensional structure with an intricate topography that presents unique reconstructive challenges. Consideration of the anatomic, functional, and cosmetic requirements of the auricle facilitates effective surgical reconstruction. Repairs of the ear can be divided into four major categories that address these requirements in different ways: linear and wedge repairs, skin grafts, single-staged flaps, and multi-staged flaps. There is strong evidence to support the efficacy and safety of auricular reconstruction, and specific categories of repair are optimally suited to particular types of defects. However, with few exceptions, there is a paucity of high-level evidence that directly compares the outcomes of one repair type to another. This chapter provides an evidence-based review of each of the major categories of auricular reconstruction. As an alternative to reconstruction, healing by second intention can be a viable option for surgical defects of the ear, and long-term functional and cosmetic outcomes may be comparable to primary repair for appropriately selected defects.

Keywords

Surgical reconstruction Linear repair Wedge repair Local cutaneous flap Chondrocutaneous flap Interpolation flap Skin graft Second intention healing 

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Dermatology, Section of Dermatologic SurgeryYale University School of MedicineNew HavenUSA
  2. 2.Department of DermatologyYale University School of MedicineNew HavenUSA

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