Modified Antia Buch Repair for Full-Thickness Middle Auricular Defect

Schipper, Hans J.P. de; Rappard, Julien H. A. van; Dumont, Ewald A.W.J.

doi:10.1111/j.1524-4725.2011.02204.x

Cited by 16 publications

(13 citation statements)

References 5 publications

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“…Progressively more sophisticated methods for using the local tissues in ear reconstruction have been devised [7]. Many have been proposed with the presence of risk of residual structural defects such as cupping or notching of the ear, especially with larger defects [5].…”

Section: Discussionmentioning

confidence: 99%

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Our experience in ear reconstruction using the Antia Buch principles

Alhayo

Arnold

Xavier

et al. 2017

International Surgery

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Objective: Presenting our experience with chondrocutaenous flap reconstruction of the ear to obtain more aesthetic results with fewer complications. Background: Satisfactory reconstruction of the ear following a resection of the helix, scapha and anti-helix remains an ongoing problem in plastic surgery. Many techniques had been developed to approach this issue and to minimise the complications raised from resection of tumours as well. However, no studies have yet mentioned specific details of aesthetic outcomes. Methodology: The study is retrospective in design, with accurate description of the ear reconstruction technique and outcomes in series of cases that were performed by the same surgeon on all patients. Twenty patients were included in this study. The collected data included demographics, any post-operative complications, and post-operative measurements of both reconstructed and normal ears. Results: In all cases, all tumours were completely excised with no known post-operative complications such as flap loss, wound infection, dehiscence or haematoma were reported. The mean residual defect was 21.8 mm ranging from 14 mm to maximum of 30 mm in size. The differences in height, width and projection carried the means of 6.8, 4.3 and 3.8 mm respectively. Conclusion: The modified Antia-Buch technique allows preservation of anatomical landmarks and contour of the ear and therefore maintaining normal overall three-dimensional appearance of the reconstructed ear. Reconstruction of 10 mm defects can be confidently performed using this technique with no loss in size. However, due to the potential lobule distortion, we recommend applying this technique to defects only up to 25 mm.

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Section: Discussionmentioning

confidence: 99%

“…Due to the safety, ease of method and the promising results, the technique steadily gained popularity. Nevertheless, complications followed in some patients, especially those required wider excision for tumours, therefore a modified Antia-Buch technique was developed to overcome these complications [4,5].…”

Section: Introductionmentioning

confidence: 99%

Our experience in ear reconstruction using the Antia Buch principles

Alhayo

Arnold

Xavier

et al. 2017

International Surgery

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“…However, this method is associated with auricle deformation, a reduced helix circumference, and nothing of the helix rim. 1 Antia and Buch 2 presented a novel single-stage procedure; they used chondrocutaneous rotation of the helix rim around the auricular periphery to close defects up to 2.5 cm or one quarter of the helix circumference. This method is versatile and is currently widely used.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Partial Helical Defects

Shimizu

Nagasao

Okabe³

et al. 2015

Dermatologic Surgery

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The authors have indicated no significant interest with commercial supporters.A 79-year-old man presented with a 3.5 · 1.5 cm full-thickness defect of the upper corner of the right helix due to resection of basal cell carcinoma at another institute (Figure 1). A postoperative scar was present along the auricular rim. How would you reconstruct this defect? Figure 1. Defect of the upper corner of the right helix. A scar is observed at the edge of the defect.

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“…6 In this article, we describe the use of the CHRAF in its classical form and variations and also describe two new modifications for larger upper pole and middle auricular helix defects.…”

Section: Introductionmentioning

confidence: 99%

“…5 Finally, de Schipper et al introduced a modification of the CHRAF for full-thickness middle auricular defects using an incision in the helical root and closure with a V-Y advancement flap. 6 In this article, we describe the use of the CHRAF in its classical form and variations and also describe two new modifications for larger upper pole and middle auricular helix defects.…”

Section: Introductionmentioning

confidence: 99%