Skip to main content
SpringerLink
Log in
Book cover

Ear Reconstruction pp 55–64Cite as

Temporo-Parietal Fascial Flaps to Improve Ear Reconstruction

  • Chapter
  • First Online:

  • 1651 Accesses

Abstract

The use of fascial flaps is a good technical procedure for ear reconstruction. My first descriptions based on anatomical cadaver dissection supported reducing the number of surgical stages when performing ear reconstruction. I demonstrated that vascularization of the neighboring regions of the ear is supplied by the superficial temporal, posterior auricular, and occipital arteries. The information provided in my early articles elucidated the anatomy and provided useful information to perform reconstruction in a single operation, which was my goal since beginning to perform ear surgery. In fact, before my publications, several operatory stages were required to perform ear reconstruction. However, after performing ear reconstruction procedures, I concluded that it was possible to perform the operation in one or two surgical stages without employing fascial flaps. For that reason, since 1979 I have not used fascial flaps during primary ear reconstruction on congenital anomalies. I prefer to reserve them for three circumstances:

  1. 1.

    Treatment of complications after ear reconstruction

  2. 2.

    Partial or total ear reconstruction after severe traumatic amputation

  3. 3.

    Secondary ear reconstruction when the local skin has been severely damaged

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Avelar JM (1977a) Total reconstruction of the auricular pavillion in one stage. Recontrução total do pavilhão auricular num único tempo cirúrgico. Rev Bras Cir 67

    Google Scholar 

  • Avelar JM (1977b) One stage total reconstruction of the ear. In: Abstract of the second Congress of the Asian Pacific Section of the IPRS. August, Tokyo, p 80

    Google Scholar 

  • Avelar JM (1978) Total reconstruction of the ear in one single stage. Technical variation with cutaneous flap with inferior pedicle. Folha Med 76:457–467

    Google Scholar 

  • Avelar JM (1979) Microtia – simplified technique for total reconstruction of the auricle in one single stage. In: Fonseca Ely J (ed) Transactions of the seventh international congress of plastic and reconstructive surgery. Cartgraf, Rio de Janeiro, p 353

    Google Scholar 

  • Avelar JM (1983) A new fascial flap for use in craniofacial surgery. Ann Acad Med Singapore 2:382–387

    Google Scholar 

  • Avelar JM (1989) Retalho da fascia craniana (gálea). Anatomia, planejamento c aplicação cirúrgica. In: Avelar JM (ed) Cirurgia Plástica na, Infânciath edn. Ed. Hipócrates, São Paulo, pp 314–326

    Google Scholar 

  • Avelar JM (1992) The use of fascia flap in ear reconstruction. In: Hinderer UT (ed) X Congress of the international conference for plastic and reconstructive surgery. Excepta Medica, Madrid, p 265–268

    Google Scholar 

  • Avelar JM, Psillakis JM (1981a) The use of galea flaps in craniofacial deformities. Ann Plast Surg 6:464

    Article  PubMed  CAS  Google Scholar 

  • Avelar JM, Psillakis JM (1981b) Microtia: total reconstruction of the auricle in one single operation. Br J Plast Surg 34:224

    Article  PubMed  CAS  Google Scholar 

  • Brent B, Byrd HS (1983) Secondary ear reconstruction with cartilage grafts covered by axial, random, and free flaps of temporoparielal fascia. Plast Reconstr Surg 72:141

    Article  PubMed  CAS  Google Scholar 

  • Dieffenbach JF (1845) Die operai ive Chirurgie. FA Brockhaus, Leipzig

    Google Scholar 

  • Dufourmentel C (1958) La greffe libre tubulée: Nouvel artífice pour la réflcction de 1”helix au cours de la reconstruction du pavillon de 1’oreille. Ann Chir Plast 3:311

    PubMed  CAS  Google Scholar 

  • Fox JW, Edgerton MT (1976) The fan flap: an adjunct to ear reconstruction. Plast Reconstr Surg 58:663

    Article  PubMed  CAS  Google Scholar 

  • Ohmori S, Nakai H, Matsumoto K et al (1976) Unfavorable results of the external ear reconstruction using Silastic frames: their avoidance and treatment. In: Marchar D, Hueston J (eds) Transactions of the sixth international congress of plastic and reconstructive surgeons. Masson, Paris, p 291

    Google Scholar 

  • Psillakis JM, Avelar JM, Perssonelli J (1990) Galeal flaps. In: Vasconez SB, Hall-Findlay E (eds) Encyclopedia oí Flaps. Little, Brown and Co., Boston, pp 389–392

    Google Scholar 

  • Song R (1989) Reconstrução auricular num único tempo cirúrgico. In: Avelar JM (ed) Cirurgia Plástica na Infância. Ed. Hipócrates, São Paulo, pp 327–330

    Google Scholar 

  • Song Y, Song Y (1983) An improved one-stage ear reconstruction procedure. Plast Reconstr Surg 71:615

    Article  PubMed  CAS  Google Scholar 

  • Song YG, Zhuang HX (1990) One-stage total reconstruction of the ear with simultaneous tympanoplasty. Clin Plast Surg 17(2):251–261

    PubMed  CAS  Google Scholar 

  • Testut L, Jacob O (1975) Anatomia topográfica, vol I. Salvat Editores S.A., Barcelona, pp 35–63

    Google Scholar 

Download references

Author information

Authors and Affiliations

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

    Juarez M. Avelar MD

Authors
  1. Juarez M. Avelar MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Avelar, J.M. (2013). Temporo-Parietal Fascial Flaps to Improve Ear Reconstruction. In: Ear Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35683-4_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-35683-4_5

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35682-7

  • Online ISBN: 978-3-642-35683-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation