Wedge cartilage with skin autograft for the projection of the reconstructed ear

Authors

Keywords:

congenital microtia, ear auricle, ear cartilage, costal cartilage.

Abstract

Introduction: In the reconstruction of the ear with autogenous costal cartilage, to achieve an optimal and aesthetic result it is important, the position and projection of the ear. This work exposes how to raise and project the ear, with favorable result and minimal morbidity.
Objective: To describe the results of using the cartilage wedge with skin autograft to elevate and project the reconstructed ear with autologous costal cartilage.
Methods: Quantitative study with descriptive cross-sectional design of 42 patients, who underwent atrial reconstruction with autologous costal cartilage and of these, 22 patients proceeded to the takeoff, elevation and projection of the cartilaginous structure, placing a fragment of cartilage and skin autograft behind the pavilion. The procedure is described and the results are evaluated.
Result: In 33 cases (78.57 %) congenital etiology and in 9 traumatic (21.42 %). In cases with microtia, its incidence was higher on the right side and the female sex predominated. The results obtained were excellent in 3 patients (7.14%), good in 28 (66.66%), regular in 9 (21.42%) and bad in 2 (4.76%). In the patients who were raised and projected the pavilion, the results evaluated were from excellent to good.
Conclusions: Separate and raise the ear from the head by placing a cartilage fragment covered with skin autograft, allows to recreate the retroauricular groove, the ear becomes more apparent and with better definition, with aesthetic improvement.

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Author Biographies

Jesús Burgué Cedeño, Clinica central “Cira García”,

jefe del grupo nacional de C. plástica, sec. de la Sociedad de Cirugía Plástica, jefe del GBT clinica central Cira García master en urgencias medicas especialista de segundo grado en cirugía plástica y quemados profesor auxiliar

Efrain Victoriano Ung Lau, Clinica Cira García

Master urgencias medicas profesor asistente especialista de 1er grado en cirugía plástica y quemados

Mercedes Silveira Nuñez, Clínica central Cira García

Master urgencias medicas profesor asistente especialista de 1er grado en cirugía plástica y quemados

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Published

2023-05-02

How to Cite

1.
Burgué Cedeño J, Ung Lau EV, Silveira Nuñez M. Wedge cartilage with skin autograft for the projection of the reconstructed ear. Rev Cubana Med Milit [Internet]. 2023 May 2 [cited 2025 Jan. 10];52(2):e02302716. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2716

Issue

Vol. 52 No. 2 (2023): April - June

Section

Research Article

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