Abstract
Congenital ear issues are relatively common. Ear tags, pre-auricular sinus tracts, irregular helical contours, absence of the anti-helical fold, and bifid ear lobes are often seen by surgeons with a pediatric practice. Less common deformities are Stahl’s deformity of the superior crus, asymmetric ear size, cryptotia, microtia, and vascular and pigmented birthmarks of the ear.
The paucity of a newborn’s scalp hair and their lack of early interaction make ear deformities particularly noticeable to their parents in the first few months of life. With a greater awareness of the potential benefit of early ear molding, pediatricians are now referring younger babies with ear deformities to plastic surgeons and otolaryngologists. Some ear configurations such as prominent ears secondary to conchal bowl hypertrophy and or incomplete anti-helical folding often run in families.
This chapter will offer tips on making treatment of the most commonly seen ear deformities easier for both the patient, their family and the treating surgeon.
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References
Tanzer RC. Total reconstruction of the external ear. Plast Reconstr Surg Transplant Bull. 1959;23(1):1–15.
Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg. 1993;92(2):187–201.
Nagata S, Fukuda O. A new approach for the lobular type microtia. Jpn J Plast Reconstr Surg. 1987;7:689.
Firmin F. Ear reconstruction in cases of typical microtia: personal experience based on 352 microtic ear corrections. Scand J Plast Reconstr Surg Hand Surg. 1998;32(1):35–47.
Ksrai L, Snyder-Warwick A, Fisher D. Single-stage autologous ear reconstruction for microtia. Plast Reconstr Surg. 2014;133(3):652–62.
Wallace CG, Mao HY, Wang CJ, Chen YA, Chen PK, Chen ZC. Three-dimensional computer tomography reveals different donor-site deformities in adult and growing microtia patients despite total subperichondrial costal cartilage harvest and donor-site reconstruction. Plast Reconstr Surg. 2014;133(3):640–51.
Kasrai L, Fisher D. Does the 3D cartilage construct in microtia patients stand the test of time? A greater than 10 year follow-up. Paper presented at 2nd Congress of International Society of Auricular Reconstruction. 2017 Sept 22–24; Beijing, China.
Cronin TD, Greenberg RL, Brauer RO. Follow-up study of silastic frame for reconstruction of external ear. Plast Reconstr Surg. 1968;42(6):522–9.
Lynch JB, Pousti A, Doyle JE, et al. Our experience with silastic ear implants. Plast Reconstr Surg. 1972;49:283–5.
Reinisch J, Lewin S. Ear reconstruction using a porous polyethylene framework and temporoparietal fascia flap. Facial Plast Surg. 2009;25:181–9.
Reinisch J, Tahiri Y. Polyethylene ear reconstruction: a state-of-the-art surgical journey. Plast Reconstr Surg. 2018;141:461–70.
Tahiri Y, Reinisch J. Porous polyethylene ear reconstruction. In: Buchanan E, editor. Pediatric craniofacial surgery: state of the craft. Philadelphia: Elsevier; 2019.
Whitton JP, Polley BB. Evaluating the perceptual and pathophysiological consequences of auditory deprivation in early postnatal life: a comparison of basis and clinical studies. J Assoc Res Otolaryngol. 2011;12(5):535–47.
Wilmington D, Gray L, Jahrsdoerfer R. Binaural processing after corrected unilateral conductive hearing loss. Hear Res. 1974;74(1–2):99–114.
Kaplan AB, Kozin ED, Remenschneider A, Eftekhari K, Jung DH, Polley DB, et al. Amblyaudia: review of pathophysiology, clinical presentation, and treatment of s new diagnosis. Otolaryngol Head Neck Surg. 2016;154(2):247–55.
Roberson J. Combined atresia microtia (CAM) repair, a new method of reconstruction of form and function in congenital aural atresia and microtia. In: Reinisch J, Tahiri Y, editors. Modern microtia: art, science, and new clinical techniques. Cham: Springer; 2019. p. 167–89.
Reinisch J. Ear reconstruction in young children. Facial Plast Surg. 2015;31(6):600–3.
Mazeed A, Bulstrode N. Refinements in otoplasty surgery: experience in 200 consecutive cases using cartilage-sparing technique. Plast Reconstr Surg. 2019;144(1):72–80.
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Reinisch, J.F. (2022). Ear Reconstruction: Congenital, Microtia, Otoplasty. In: Thaller, S.R., Panthaki, Z.J. (eds) Tips and Tricks in Plastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-78028-9_17
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DOI: https://doi.org/10.1007/978-3-030-78028-9_17
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