A simple ear splint for microtia patients

Venkatakrishnan, CJ; Balaji, SM; Jain, Ashish

doi:10.4103/0970-9290.159177

Cited by 5 publications

(5 citation statements)

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“…The merits of such prosthesis are dealt elsewhere. [ 9 ] The success in our present study partially owes its success to this modification. In this aspect of dressing and preservation, several local methods for Indo-Asian ears have been found in literature.…”

Section: Discussionmentioning

confidence: 66%

“…As the lifted skin is prone to attach back to the incision, compromising the esthetics, projection geometry, and possibly the skin tone around the incision and attachment, a modified approach has been followed at our center [Figures 1 - 13 ]. [ 9 ] Depth of helical sulcus was excluded because of potential immediate or latter correction. The details thus collected were tabulated and results discussed.…”

Section: Methodsmentioning

confidence: 99%

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Two stage ear/microtia reconstruction using costal cartilage

Balaji¹

2015

Ann Maxillofac Surg

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Background:Reconstruction of Grade III microtia is a challenging entity in maxillofacial esthetic rehabilitation. Several advocacies and philosophies exist in this field. The aim of the manuscript is to present a single South Indian Experience with Ear reconstruction among South Indian Population.Materials and Methods:Retrospective analysis of unilateral Grade III microtia reconstruction was performed. Using a set of predefined inclusion and exclusion criteria, the population was selected. Outcome measures in terms of the ear size, auriculocephalic angle, and the conchal depth were measured in the reconstructed and normal side. Descriptive statistics is presented.Results:Twenty-four patients formed the study group and had undergone the classical two-stage reconstruction in a similar fashion. The mean ear size in normal side was 65.8 ± 2.8 mm whereas on the reconstructed side, it was 61.3 ± 5.8 mm. The center's technique achieved above 75% similarity as that of the other normal ear. The mean auriculocephalic angle was 44.6 ± 5.2° whereas for the surgically reconstructed ear, it was 41.9 ± 2.6°. Overall, in these patients, we achieved a 79.94% similarity of auriculocephalic angle in the reconstructed ear as compared to the normal auricle. The conchal depth was 19.2 ± 2.1 mm and 16.6 ± 1.9 mm for normal and reconstructed ear, respectively. In terms of conchal depth, the present study group showed an achievement of 82.88% of accuracy even after a prolonged follow-up.Discussion and Conclusion:The center employs a classic two stage reconstruction with a customized prosthesis that helps to avoid the loss of projection geometry and minimizes adhesion, infection, and early loss of structural stability.

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Section: Discussionmentioning

confidence: 66%

Section: Methodsmentioning

confidence: 99%

Two stage ear/microtia reconstruction using costal cartilage

Balaji¹

2015

Ann Maxillofac Surg

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“…Numerous splints have been described for maintaining the retroauricular space after ear framework elevation in microtia surgery. 2 These range from simple conventional dental moulds, 1 acrylic based resins, 2 silicon Foleys catheter, 3 and thermoplastic materials, to dressing techniques 4 and spectacle frames. 5 These have limited application owing to scarce availability, difficult compliance, cost, and the necessity to replace daily under supervision.…”

Section: Discussionmentioning

confidence: 99%

“…1 Preservation of cephaloauricular sulcus from obliteration following graft contracture is a challenge. 2 An effective splint should maintain the necessary auricular projection. Essentially, it should be self-retaining over a period of time.…”

Section: Introductionmentioning

confidence: 99%

(Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle

Shanmugam

Venkataraman

2019

Indian J Plast Surg

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Background Maintaining ear projection and preservation of cephaloauricular sulcus from obliteration following graft contracture is a challenge following staged microtia reconstruction. Authors have designed simple, effective, and easy-to-use splints to ensure improved aesthetic outcomes and patient compliance. Materials and Methods This is a prospective study over 3 years including 8 patients of both sexes aged 6 to 12 years. Custom-made ear splints were designed separately for females and males and used to maintain ear projection. Projection of the ear was measured postoperatively and at follow-up using goniometer and photographic records. Outcome was assessed in terms of cephaloauricular angle, conchal depth, pain, cost-effectiveness, splint retention period, and aesthetics. Results and Conclusion Maximal follow-up was 2 years. The splint effectively maintained ear projection of more than 30 degrees. Patient compliance was optimal, and no major complications were associated with its prolonged use.

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“…Congenital anomaly of the external ear may be termed as “microtia.” It includes a spectrum of deformities from a grossly normal but small ear to the absence of the entire external ear. These deformities account for three in every 10,000 births, with bilaterally missing ears seen in fewer than 10% of all cases [ 1 – 3 ]. The patient presented in this article had a unilateral acquired missing ear due to burn deformity.…”

Section: Introductionmentioning

confidence: 99%

Ear Prosthesis for Postburn Deformity

Chinnasamy

Gopinath

Jain

2018

Case Reports in Otolaryngology

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Prosthodontics is not just confined to replacement of missing teeth but beyond one's scope. The fabrication of any extraoral maxillofacial prosthesis presents the prosthodontist with several phenomenal challenges. Psychologically, these patients are severely affected either by congenital absence or loss of ear due to trauma or burns. Replacement or reconstruction can be done by surgical or prosthetic approach. However, not all situations are favourable to surgical reconstruction. This article emphasises on the steps in fabrication of ear prosthesis for burn deformity.

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A simple ear splint for microtia patients

Cited by 5 publications

References 1 publication

Two stage ear/microtia reconstruction using costal cartilage

Two stage ear/microtia reconstruction using costal cartilage

(Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle

Ear Prosthesis for Postburn Deformity

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