Psychosoziale Aspekte der totalen Ohrmuschelrekonstruktion bei Patienten mit schwerer Mikrotie*

Siegert, R.; Knölker, U; Konrad, E.

doi:10.1055/s-2007-997405

Cited by 23 publications

(7 citation statements)

References 1 publication

(1 reference statement)

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“…The indication for microtia repair is based on the visible abnormality and its psychosocial consequences. 9 Patients with atresia also have severe hearing impairment. A hearing aid should be fitted as early as possible and tympanoplasty should be combined with the aesthetic rehabilitation.…”

Section: Indicationmentioning

confidence: 99%

Basic Techniques in Autogenous Microtia Repair

Siegert¹,

Weerda²,

Magritz³

2009

Facial Plast Surg

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Although several techniques can be used for microtia repair, some standard procedures have been developed over the past few decades. In specialized centers, these techniques are performed most frequently. They include two to four operative steps using autogenous rib cartilage for the framework and local skin for its tegument. We have been using this technique presented here in more than 800 cases over the past two decades with good and mostly stable results.

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Section: Indicationmentioning

confidence: 99%

Basic Techniques in Autogenous Microtia Repair

Siegert¹,

Weerda²,

Magritz³

2009

Facial Plast Surg

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“…1 Today we know that although in most cases microtia seems to be a caprice of nature leading to an incomplete development or abnormal fusion of the six mesenchymal auricular hillocks, it is also seen in syndromic forms leading to facial asymmetries 2 and stigmatization of the patient. 3 Ear reconstruction has therefore been an important and challenging aspect to reconstructive surgery for centuries. A complex three-dimensionality, along with a delicate convoluted structure, requires high surgical expertise and a meticulous approach.…”

mentioning

confidence: 99%

Milestones in the History of Ear Reconstruction

Berghaus

Nicoló

2015

Facial plast Surg

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The reconstruction of ear deformities has been challenging plastic surgeons since centuries. However, it is only in the 19th century that reports on partial and total ear reconstruction start increasing. In the quest for an aesthetically pleasing and natural-looking result, surgeons worked on the perfect framework and skin coverage. Different materials and flap techniques have evolved. Some were abandoned out of frustration, while others kept evolving over the years. In this article, we discuss the milestones in ear reconstruction-from ancient times to early attempts in Western civilization to the key chapters of ear reconstruction in the 20th century leading to the current techniques.

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“…Fr ü here Berichte zur Untersuchung der klinisch oft eindrucksvollen Verbesserung des seelischen Wohlbefi ndens hatten methodische Probleme durch die Benutzung selbst entwickelter, nicht-validierter Frageb ö gen [15,16] oder waren retrospektiv durchgef ü hrt worden [17] . Ausf ü hrliche Interviews durch einen Psychologen sind in den klinischen Alltag nicht zu ü bertragen [18] . In vorangegangenen Einleitung & F ü r die Rekonstruktion von angeborenen oder erworbenen Ohrmuscheldefekten hat sich die Verwendung von autologen Rippenknorpel in gro ß en Fallserien [1] ü ber Jahrzehnte [2,3] als etablierte Methode bew ä hrt.…”

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“…Eine aktuelle Untersuchung [22] , die epithetisch versorgte Patienten mit Ohrmuscheldefekten unterschiedlicher Genese umfasste, ergab keine relevanten Unterschiede der validiert gemessenen Lebensqualit ä t (WHO-Quality of Life) zum Normkollektiv. Die von der Arbeitsgruppe um Siegert [18] mithilfe eines Psychologen erfasste emotionale Befi ndlichkeit zeigte demgegen ü ber deutliche Unterschiede von 39 postoperativen und 65 pr ä operativen Patienten hinsichtlich Angstsymptomen, Aggressivit ä t und R ü ckzugstendenzen. Ebenso werden von Horlock und Kollegen bei der H ä lfte der 62 untersuchten Patienten Zeichen von Angstst ö rungen oder Depressionen berichtet.…”

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