Microtia reconstruction using tissue expanders without skin grafts from groin region

Park, Boyoung; Im, Joung-Taek; Lim, So-Young; Pyon, Jai-Kyung; Bang, Sa Ik; Mun, Goo‐Hyun; Oh, Kap Sung

doi:10.1016/j.bjps.2014.07.024

Cited by 23 publications

(15 citation statements)

References 16 publications

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“…Instead of full-thickness skin from the inguinal area, the excised skin was draped at the posterior surface for the elevation procedure. 17 Despite the addition of the tissue expander insertion procedure, we obtained satisfactory aesthetic results using the expanded skin to buttress the cartilage framework, with superior skin texture and color match. 17 Aesthetic auricular reconstruction in adult microtia patients…”

Section: Tissue Expander Removal and Auricular Elevationmentioning

confidence: 91%

“…17 We performed thorough capsulectomy of the expanded postauricular skin flap to make a more visually projected ear with less tension. The predicted remnant skin flap and dog-ears were marked and then excised.…”

Section: Tissue Expander Removal and Auricular Elevationmentioning

confidence: 99%

“…A 45e or a 60-ml rectangular tissue expander was inserted subcutaneously at the postauricular mastoid region in the same manner as a previous study. 17 A subcutaneous pocket was dissected and extended over the scalp covering the mastoid area in order to obtain sufficient space for the tissue expander. The pocket for the port, which was connected to the prosthesis by a length of tubing, was prepared in the temporal area.…”

Section: Tissue Expander Insertionmentioning

confidence: 99%

See 2 more Smart Citations

Aesthetic auricular reconstruction with autologous rib cartilage grafts in adult microtia patients

Han

Lim

Pyon

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Tissue Expander Removal and Auricular Elevationmentioning

confidence: 91%

Section: Tissue Expander Removal and Auricular Elevationmentioning

confidence: 99%

Section: Tissue Expander Insertionmentioning

confidence: 99%

See 1 more Smart Citation

Aesthetic auricular reconstruction with autologous rib cartilage grafts in adult microtia patients

Han

Lim

Pyon

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…In most expansion cases, additional harvest of skin graft is often required, which inevitably causes a donor-site scar and ear colour aberration. In addition, though enough tissue could be harvested through subfascial expansion, the shape of reconstructed ear is usually thick and clumsy due to the thickness of the flap [22][23][24] .…”

Section: Discussionmentioning

confidence: 99%

A new strategy for total auricular reconstruction using prelamination of an extended retroauricular flap with tissue expansion

Jiang

Huang

et al. 2016

Journal of Plastic, Reconstructive & Aesthetic Surgery

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A new strategy for total auricular reconstruction using prelamination of extended retroauricular flap with tissue expansion, SummaryBackground: To accomplish total ear reconstruction with aesthetic appearance is a great challenge for plastic surgeons worldwide due to insufficient skin coverage. A retroauricular fascia flap and skin graft technique are commonly used, but the results are unsatisfied due to color mismatch, severe edema, and donor site morbidity. Here, we will describe a novel strategy for total ear reconstruction, utilizing an extended retroauricular flap prelaminated with tissue expansion to obtain enough skin for ear reconstruction. Methods: About two months before ear reconstruction, kidney shaped tissue expander was inserted at the mastoid region subcutaneously. The retroauricular skin became enlarged and thinner in 2 months after expansion. Next, the expander was removed and the retroauricular flap was extended by dissecting the surrounding scalp subcutaneously. By mobilizing the scalp-extended retroauricular flap, we could encapsulate the entire framework with thin and non-hair bearing skin. Results: From August 2014 to September 2015, 36 microtia patients had undergone ear reconstruction using the novel strategy. All cases have resulted in satisfactory aesthetics with fine structure, symmetry, maintenance of the auriculocephalic angle. Conclusions: Using our novel strategy, we can obtain satisfactory aesthetic outcome by fully mobilizing the expanded skin without additional morbidities of donor sites. Patients are satisfied with the vivid ear contour and lack of groin scar.

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“…Although tissue coverage could be harvested through postauricular skin flap or subfascial expansion, the shape of reconstructed ear is usually thick and clumsy due to the thickness of the flap. 7,8 In addition, the anatomical details of reconstructed ear appear unclear.…”

Section: Comparisons With Other Studiesmentioning

confidence: 99%

A new method using tissue expander makes auricular reconstruction easier

Yang

Jiang

Zhang

et al. 2019

Clinical Otolaryngology

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Microtia reconstruction using tissue expanders without skin grafts from groin region

Cited by 23 publications

References 16 publications

Aesthetic auricular reconstruction with autologous rib cartilage grafts in adult microtia patients

Aesthetic auricular reconstruction with autologous rib cartilage grafts in adult microtia patients

A new strategy for total auricular reconstruction using prelamination of an extended retroauricular flap with tissue expansion

A new method using tissue expander makes auricular reconstruction easier

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