Advertisement

Salvage of the Unsatisfactory Microtia Reconstruction

  • Daniel J. GouldEmail author
  • Youssef Tahiri
  • John F. Reinisch
Chapter
  • 586 Downloads

Abstract

Patients seeking secondary microtia reconstruction often present with complex anatomic and social considerations. The approach to these patients must include a well-designed surgical plan and must take into account patients’ past surgical approaches as well as patients’ desires. This chapter seeks to address secondary microtia reconstruction for the unsatisfied patient.

Keywords

Microtia Secondary ear reconstruction Difficult salvage Complex ear reconstruction 

References

  1. 1.
    Im DD, Paskhover B, Staffenberg DA, Jarrahy R. Current management of microtia: a national survey. Aesthet Plast Surg. 2013;37:402–8.CrossRefGoogle Scholar
  2. 2.
    Bly RA, Bhrany AD, Murakami CS, Sie KC. Microtia reconstruction. Facial Plast Surg Clin North Am. 2016;24:577–91.CrossRefGoogle Scholar
  3. 3.
    Baluch N, Nagata S, Park C, Wilkes GH, Reinisch J, Kasrai L, et al. Auricular reconstruction for microtia: a review of available methods. Plast Surg (Oakville, Ont). 2014;22:39–43.CrossRefGoogle Scholar
  4. 4.
    Giot JP, Labbe D, Soubeyrand E, Pacini R, Guillou-Jamard MR, Compère JF, et al. Prosthetic reconstruction of the auricle: indications, techniques, and results. Semin Plast Surg. 2011;25:265–72.CrossRefGoogle Scholar
  5. 5.
    Choi KJ, Sajisevi MB, McClennen J, Kaylie DM. Image-guided placement of osseointegrated implants for challenging auricular, orbital, and rhinectomy defects. Ann Otol Rhinol Laryngol. 2016;125:801–7.CrossRefGoogle Scholar
  6. 6.
    Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg. 1993;92:187–201.CrossRefGoogle Scholar
  7. 7.
    Nagata S. Modification of the stages in total reconstruction of the auricle: part IV. Ear elevation for the constructed auricle. Plast Reconstr Surg. 1994;93:254–66; discussion 267–258.CrossRefGoogle Scholar
  8. 8.
    Reinisch J. Ear reconstruction in young children. Facial Plast Surg FPS. 2015;31:600–3.CrossRefGoogle Scholar
  9. 9.
    Reinisch JF, Lewin S. Ear reconstruction using a porous polyethylene framework and temporoparietal fascia flap. Facial Plast Surg: FPS. 2009;25:181–9.CrossRefGoogle Scholar
  10. 10.
    Romo T III, Fozo MS, Sclafani AP. Microtia reconstruction using a porous polyethylene framework. Facial Plast Surg. 2000;16:15–22.CrossRefGoogle Scholar
  11. 11.
    Romo T III, Morris LG, Reitzen SD, Ghossaini SN, Wazen JJ, Kohan D. Reconstruction of congenital microtia-atresia: outcomes with the medpor/bone-anchored hearing aid–approach. Ann Plast Surg. 2009;62:384–9.CrossRefGoogle Scholar
  12. 12.
    Akter F, Mennie JC, Stewart K, Bulstrode N. Patient reported outcome measures in microtia surgery. J Plast Reconstr Aesthet Surg: JPRAS. 2017;70:416–24.CrossRefGoogle Scholar
  13. 13.
    Federspil PA. Auricular prostheses. Adv Otorhinolaryngol. 2010;68:65–80.PubMedGoogle Scholar
  14. 14.
    Williams JD, Romo T 3rd, Sclafani AP, Cho H. Porous high-density polyethylene implants in auricular reconstruction. Arch Otolaryngol Head Neck Surg. 1997;123:578–83.CrossRefGoogle Scholar
  15. 15.
    Wellisz T. Reconstruction of the burned external ear using a Medpor porous polyethylene pivoting helix framework. Plast Reconstr Surg. 1993;91:811–8.CrossRefGoogle Scholar
  16. 16.
    Wilkes GH, Wong J, Guilfoyle R. Microtia reconstruction. Plast Reconstr Surg. 2014;134:464e–79e.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Daniel J. Gould
    • 1
    Email author
  • Youssef Tahiri
    • 2
  • John F. Reinisch
    • 3
    • 4
  1. 1.University of Southern California, Plastic and Reconstructive SurgeryLos AngelesUSA
  2. 2.Plastic and Reconstructive SurgeryCedars-Sinai Medical CenterLos AngelesUSA
  3. 3.Keck School of MedicineUniversity of Souther CaliforniaLos AngelesUSA
  4. 4.Craniofacial and Pediatric Plastic SurgeryCedars Sinai Medical CenterLos AngelesUSA

Personalised recommendations