Plastic and reconstructive surgery of the ear:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2002
|
| Schriftenreihe: | Clinics in plastic surgery
29,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | IX S., S. 147 - 336 zahlr. Ill. |
Internformat
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| 245 | 1 | 0 | |a Plastic and reconstructive surgery of the ear |c Nabil I. Elsahy guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2002 | |
| 300 | |a IX S., S. 147 - 336 |b zahlr. Ill. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Clinics in plastic surgery |v 29,2 | |
| 650 | 4 | |a Ear Deformities, Acquired | |
| 650 | 4 | |a Ear |x surgery | |
| 650 | 4 | |a Surgery, Plastic | |
| 700 | 1 | |a Elsahy, Nabil I. |e Sonstige |0 (DE-588)173396054 |4 oth | |
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Datensatz im Suchindex
| _version_ | 1804129398366928896 |
|---|---|
| adam_text | CONTENTS
Preface 147
Nabil I. Elsahy
Dedication 149
Nabil I. Elsahy
Color Plates 151
Nabil I. Elsahy
SECTION I: RECONSTRUCTION OF THE EAR
Anatomy and embryology of the external ear and their
clinical correlation 155
Chul Park, Tai Suk Roh
The vascular anatomy for design and execution of various flaps of the auricu¬
lar region is outlined with emphasis on clinical correlation. Anew classification
of various flap compositions from the postauricular region based on histologic
and anatomic observations is proposed, together with a corresponding clinical
example used in different clinical situations. Sound knowledge of the vascular
pattern surrounding the auricle provides immense versatility in performing
flap operations in this region. A summary of the controversy and updates on
auricular embryology is provided in relation to various congenital malformations.
Acquired ear defects 175
Nabil I. Elsahy
Trauma and tumor are the causes of acquired ear defects that surgeons are fre¬
quently called on to treat. Trauma may result in hematoma or laceration of the
ear. In addition, both trauma and tumor excision may result in skin or cartilage
loss. Prevention of recurrence depends on complete excision of the tumor in
both lateral margins and depth. Tumors of the ear (as well as the nose) are often
incompletely excised because of the difficulty in reconstruction. The absence of
VOLUME 29 • NUMBER 2 • APRIL 2002 v
subcutaneous tissue in the ear allows fixation and perichondrial involvement to
occur early. The tumor affinity for perichondrium usually prohibits penetration
into the cartilage itself.
Reconstruction of the ear after skin and perichondrium loss 187
Nabil I. Elsahy
Because no two auricular defects are exactly the same, the choice of a suitable
method for ear reconstruction is essential. Location and size of the defect influ¬
ence the choice of technique needed for reconstruction. The method of recon¬
struction varies if there is skin loss, skin and perichondrium loss, or full thick¬
ness loss. The skin surrounding the defect should be examined to determined if
it is lacerated, burned, or scarred to decide whether or not it can
be used in reconstruction. A plan of treatment should be decided and explained
fully to the patient. A small area of skin loss can be closed by undermining of
the edges and direct closure. If this cannot be performed because the defect is
too large, the perichondrium is then examined to decide whether or not it is intact.
Reconstruction of the ear after skin and cartilage loss 201
Nabil I. Elsahy
Small defects (less than 1.5 cm) of the helix or antihelix of the middle third of
the ear can be converted to a wedge shaped excision and primary repair per¬
formed. In some cases, small Burrow s triangles on either side of the wedge
must be exised from the scapha or antihelix to allow for closure without distor¬
tion or cupping. In addition, the resection may go across the conchal rim and
include the bowl to allow for rotation without deformity.
Total ear reconstruction in postburn deformity 213
P.S. Bhandari
The external ear enjoys a special place in society all over the world. It is meant
to be flaunted and adorned. Ear piercing is routine, with a range of jewelry
pieces concentrating in enhancing its natural beauty. Persons with deformed
ears have to limit their range of hair styles. There is a definite need to recon¬
struct the deformed ear of both sexes. To achieve desirable results in ear recon¬
struction is a difficult task. Although cartilage fabrication is an important step
in ear reconstruction in postburn deformity of the ear, the final outcome is
mainly decided by the quality and quantity of skin available in the auricular
region for draping of framework.
Ear replantation 221
Nabil I. Elsahy
Most trauma to the ear is minimal and can heal with excellent results if meticu¬
lous repair is performed immediately after the accident. Amputation of the ear,
on the other hand, is a very serious problem and can lead to severe deformity.
Many reattachment and reconstruction techniques are described; however, reat
vi CONTENTS
tachment of the severed ear continues to be a major challenge that can lead to
severe deformity. To date, only a few successful cases of microvascular ear
replantation have been reported. Bone anchored prosthesis or plastic recon¬
struction may be recommended if the patient refuses surgery, in patients with
multiple health problems, or in the case of a reconstructive attempt that has
failed and the patient prefers to wear a prosthesis for the rest of his or her life.
Microvascular ear replantation 233
Gabriel M. Kind
Microvascular ear replantation is a rare event, having been reported only 25
times since the first case in 1980. It requires a lengthy operative time and hos¬
pital stay, results in multiple blood transfusions, and has a significant failure
rate. Nevertheless, a successful ear replantation is a dramatic demonstration of
the power of microsurgery to restore a lost part. When successful, it obviates
the need for other complex reconstructive efforts and provides an unsurpassed
aesthetic result. This article reviews the history of microsurgical and nonmi
crosurgical ear replantation and presents recommendations for treatment.
Reconstruction of congenital and acquired earlobe deformity 249
Takatoshi Yotsuyanagi, Ken Yamashita, Yukimasa Sawada
The appearance and symmetry of the auricle is crucial for the maintenance of
facial cosmetic harmony. The earlobe is considered to be an important
attribute of beauty in most cultures, and earlobe decoration with color or ear¬
ring is a common practice in many societies. A reconstructive technique for
congenital or acquired deformity of the earlobe is described. In addition, the
postauricular chondrocutaneous flap is very convenient for reconstruction of
various auricular parts.
SECTION II: COSMETIC SURGERY OF THE EAR
Microtia repair with rib cartilage grafts: a review of personal
experience with 1000 cases 257
Burt Brent
Surgical construction of the auricle with autogenous tissues is a unique mar¬
rying of science and art. Although the surgeon s facility with both sculpture
and design is imperative, the surgical result is equally influenced by adherence
to sound principles of plastic surgery and tissue transfer. The material
reviewed in this article is derived from clinical experience with congenital
microtia: 1094 completed ears in 1000 patients (94 cases were bilateral). This
article focuses on total repair of major congenital ear defects, but includes rel¬
evant supplementary input from experience gained by managing more than
125 traumatic auricular deformities.
CONTENTS vii
Otoplasty for prominent ears 273
David W. Furnas
Protruding ears may be a source of psychological distress in either sex and at
any age. A truly gratifying psychological response to a well performed otoplasty
is the rule. If the neonate with protruding ears, mildly constricted ears, Stahl s
ear, or cryptotia is seen by a plastic surgeon during the baby s first days of life,
the timing is auspicious. If the process of shaping the ear with molding splints
and Steri Strips is promptly initiated, correction of the problem without surgery
is a realistic expectation. The urgency and the effectiveness of early nonsurgical
treatment of such ears is not yet widely appreciated by those responsible for pri¬
mary medical care of neonates. The plastic surgeon is in a position to increase
awareness of the availability and effectiveness of this technique.
The constricted ear 289
Alfredo A. Paredes Jr., J. Kerwin Williams, Nabil I. Elsahy
The constricted ear may be described best as a pursestring closure of the ear.
The deformity may include lidding of the upper pole with downward folding,
protrusion of the concha, decreased vertical height, and low ear position rela¬
tive to the face. The goals of surgical correction should include obtaining sym¬
metry and correcting the intra auricular anatomy. The degree of intervention is
based on the severity of the deformity and may range from simple reposition¬
ing, soft tissue rearrangement, or manipulation of the cartilage. Multiple sur¬
gical techniques are described.
Alternative surgical methods of treatment for the constricted ear 301
Satoru Nagata
All articles concerned with surgery involving the auricle are of importance to
young surgeons who seek to pursue a clinicalpractice involving corrective and
reconstructive surgery of the auricle. One must consider not only the selection
of the surgical method or technique but also the importance in planning the
surgery to correct the defect and in the selection of the material required to cor¬
rect the defect or to reconstruct the auricle. The ultimate goal is to attain con¬
sistent, satisfactory, and favorable results, the appearance of a normal auricle.
Cryptotia: principles and management 317
Alfredo A. Paredes Jr., J. Kerwin Williams, Nabil I. Elsahy
Cryptotia is characterized by an absence of the auriculocephalic sulcus and
subsequent absence of the upper pole of the ear. The condition may also rep¬
resent deficiency in the vertical axis of the ear secondary to contstriciton of the
scapha. Correction of the condition requires accurate assessment of the defor¬
mity and use of local flaps or grafts to elevate the upper pole. Repositioning
of the ear may also require release of the intrinsic and extrinsic muscles of the
ear and manipulation of the cartilage.
viii CONTENTS
Nonsurgical treatment of various auricular deformities 327
Takatoshi Yotsuyanagi, Katsunori Yokoi, Yukimasa Sawada
Nonsurgical treatment does not always correct all auricular deformities.
However, we believe that all types of deformities can be treated if the gradual
and continuous correction is made. Therefore, it is recommended that nonsur¬
gical treatment should be tried first, even in older children. Even if the correc¬
tion with the splint is not satisfactory, the improved form with the splint will
make it easier to obtain a good, delicate form by surgery at a later stage.
Index 333
CONTENTS IX
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| series2 | Clinics in plastic surgery |
| spelling | Plastic and reconstructive surgery of the ear Nabil I. Elsahy guest ed. Philadelphia [u.a.] Saunders 2002 IX S., S. 147 - 336 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Clinics in plastic surgery 29,2 Ear Deformities, Acquired Ear surgery Surgery, Plastic Elsahy, Nabil I. Sonstige (DE-588)173396054 oth Clinics in plastic surgery 29,2 (DE-604)BV000003656 29,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009938327&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Plastic and reconstructive surgery of the ear Clinics in plastic surgery Ear Deformities, Acquired Ear surgery Surgery, Plastic |
| title | Plastic and reconstructive surgery of the ear |
| title_auth | Plastic and reconstructive surgery of the ear |
| title_exact_search | Plastic and reconstructive surgery of the ear |
| title_full | Plastic and reconstructive surgery of the ear Nabil I. Elsahy guest ed. |
| title_fullStr | Plastic and reconstructive surgery of the ear Nabil I. Elsahy guest ed. |
| title_full_unstemmed | Plastic and reconstructive surgery of the ear Nabil I. Elsahy guest ed. |
| title_short | Plastic and reconstructive surgery of the ear |
| title_sort | plastic and reconstructive surgery of the ear |
| topic | Ear Deformities, Acquired Ear surgery Surgery, Plastic |
| topic_facet | Ear Deformities, Acquired Ear surgery Surgery, Plastic |
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