Restorative surgery of auricle:history and perspectives


Auricles are the one of the most important anatomic formations of maxillofacial
region. Therefore, their defect or full absence promote the development of an inferiority
complex in the patient, and influences his or her social life negatively. Till now the most
known multisteps method of ear reconstruction with use autogenous rib cartilage wich was
known in 60-70 years. For patients with total and subtotal defects of auricles, as a framework,
we use individually simulated silicone implant which allows us to reproduce as much as
possible precisely parameters of an auricle, its relief and the corner of assignment which
is the necessary condition for creation post auricle fold. As a covering for implant we use
temporoparietal fascial flap which is a high-grade plastic and biological covering and also
a favorable basis for engraftment of splintered autograft skin transplantat. The using of an
auricle silicone implant as a framework, is necessary because of its elasticity, durability,
inertness and biocompatibility. Thats why we keep received result, and allows the patient to
sleep on the generated auricle, not affecting its blood supply.

About the authors

Tamara Zurabovna Chkadua



  1. Брусова Л.А., Милешина Н.А. Способ формирования ушной раковины при микротии/ Патент № 2157163 от 2000 г.
  2. Ищенко А.Л. Восстановление ушных раковин при тотальных и субтотальных дефектах различной этиологии. дисс. канд. мед.наук. М, 2003. - С. 73-118.
  3. Карякина И.А. Основные принципы комплексного лечения пациентов с деформациями и дефектами ушных раковин // Русский медицинский журнал.- 2007.- Т. 15. - № 19. - С. 10-12.
  4. Кручинский Г.В. Челюстно-лицевой дизостоз и другие синдромы первой и второй жаберных дуг (Обзор литературы) // Стоматология.- 1972. - № 2. - С. 97.
  5. Лапченко С.Н. Врожденные пороки развития наружнего и среднего уха и их хирургическое лечение.М.: 1972. 176 с.
  6. Неробеев А.И., Царевский П.Л. Использование височно-теменного фасциального лоскута при устранении полных и частичных дефектов ушной раковины: Методические рекомендации. М.: 1990. - С. 5.
  7. Чмырев B.C. Пластическое восстановление ушных раковин при полных дефектах: Автореф. Дис; .канд.мед.наук. М.: 1966. 22 с.;
  8. Mir у Mir, L.: Role of the meniscus of the knee in plastic surgery. Plastic & Reconstructive Surgery, 10:431, 952.
  9. Peer, L. A.: Reconstruction of the auricle with diced cartilage grafts in a vitallium ear mold. Plastic & '.econstructive Surgery, 3:653, 1948.
  10. Pierce, C. W.: Reconstruction of the external ear. Surgery, Gynecology & Obstetrics, 50:601,1930.
  11. Steffensen, W. H.: Comments on total reconstruction of the external ear. Plastic & Reconstructive Surgery,186, 1952.
  12. Steffenson, W. H.: Comments on reconstruction of the external ear. Plastic & Reconstructive Surgery, 16:194, 1955.
  13. Hishagratna, К. К. L.: An English Translation of the Susruta Samhita. Calcutta, Wilkins Press, 1907.
  14. Converse, J. M.: The absorption and shrinkage of maternal ear cartilage used as living homograft: follow-up jrt of 21 of Gillies' patients. In Converse, J. M.( Ed.): Reconstructive Plastic Surgery, 2nd Ed. Philadelphia, W. Saunders Company, 1977, p. 308.
  15. Cronin, T. D.: Use of a Silastic frame for total and subtotal reconstruction of the external ear: Preliminary report. stic & Reconstructive Surgery, 37:399, 1966.
  16. Davis, J.: Reconstruction of the upper third of the ear with a chondrocutaneous composite flap based on the eras ix. In Tanzer, R. C, and Edgerton, M. T. (Eds.): Symposium on Reconstruction of the Auricle. St. Louis, С. V. >sby Company, 1974, p. 247.
  17. Dieffenbach J. F.: Die Operative Chirurgie. Leipzig, P. A. Brockhaus, 1845.
  18. Ely E. Т.: An operation for prominence of the auricles. Archives of Otolaryngology, 10:97, 1881.
  19. Gillies, H.: Plastic Surgery of the Face. London, H. Frowde, Hodder & Stoughton, 1920.
  20. Gillies, H.: Reconstruction of the external ear with special reference to the use of maternal ear cartilages as the pporting structure. Revue Chirurgie Struct, 7:169, 1937.
  21. Gorney, M., Murphy, S., and Falces, E.: Spliced autogenous conchal cartilage in secondary ear reconstruction. lastic & Reconstructive Surgery, 47:432, 1971.
  22. Lynch J. В., Pousti, A., Doyle, J., and Lewis, S.: Our experiences with Silastic ear implants. Plastic & econstructive Surgery, 44:283, 1972.
  23. Tagliacozzi, G.: De Curtorum Chirurgiaper Institionem. Venice, Gaspare Bindonus, 1597.
  24. Tanzer R. C: Total reconstruction of the external ear. Plastic & Reconstructive Surgery, 23:1, 1959.
  25. Tanzer R. C: Discussion of silastic framework complications. In R. C. Tanzer and M. T. Edgerton (Eds.), Symposium on Reconstruction of the Auricle, С. V. Mosby Co., St Louis, 1974, pp. 87-88.
  26. Young F.: Cast and precast cartilage grafts. Surgery, 15:735, 1944.



Abstract - 32


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