Ohrmuschelverletzungen - Klassifizierung und Therapiekonzept

Abstract

The treatment of traumatic defects of the auricle concerning the exact reconstruction of details and aesthetic aspects is exacting for the surgeon. To face the expectations towards best trauma care, the different locations and extent of auricular injuries should be included in the different therapeutic strategies. The insufficient treatment results in mostly difficult secondary conditions. We present a classification for ear traumas, which considers size and location of defects. Depending on this, different techniques and methods of reconstruction are recommended. Advantages and disadvantages are pointed out and discussed with several examples and with the present literature.

Bone and cartilage tissue engineering for facial reconstructive surgery

“…The possible donor sites for the cartilage graft are the ear or the nasal Cartilage and Bone Tissue Engineeringseptum [5]. Different reconstruction concepts are available for the complex three-dimensional structure of the ear, depending on defect size and location [6]. Cartilage grafts are usually required in two or three layer defects located to the helix and anthelix, whereas cartilaginous defects of the concha can be adequately resurfaced with skin flaps if the cartilage framework of the helix and anthelix is preserved.…”

Anteriorly Pedicled Retroauricular Flap for Repair of Auricular Defects

“…Many single-stage and multistage treatment methods are available for restoring the helical ear [1,[4][5][6][7][8]. Defects can be covered by a simple reduction procedure or with local flaps with or without cartilage grafts [9][10][11][12][13]. With flap-based reconstructive procedures, retroauricular skin is frequently used, preferably for its known advantages [1,2,5,7,11].…”