Download Aesthetics and Functionality in Ear Reconstruction (Advances by R. Staudenmaier, P.J. Bradley PDF

By R. Staudenmaier, P.J. Bradley

Ear reconstruction has constructed from the only real plastic reconstruction of the auricle to a extra complicated strategy that comes with the practical rehabilitation of listening to. For the patient's profit the variety of surgical procedures should be decreased to 2 or 3 whereas nonetheless protecting very good effects. This improvement is because of advancements in surgeries in addition to technical advancements equivalent to bone-anchored listening to aids or cochlear implants. The authors of this quantity have thought of diversified features of reconstruction of critical ear malformation. advancements in surgical procedure and the alternative of prosthetic fabrics are heavily tested, and the advantages of alloplastic fabrics compared to autologous cartilage are mentioned. beauty results should not defined in isolation, yet just about advancements in sufferers' listening to, fairly within the context of bone-anchored and implantable listening to aids. comparable fields, equivalent to tissue engineering, carry substantial untapped strength for this zone. The impression they're going to have sooner or later is mentioned intimately, assisting to color an image of cures that might turn into to be had to pros. This quantity is an quintessential overview that may be of curiosity to otorhinolaryngologists, plastic surgeons, maxillofacial surgeons and pediatricians.

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Additional resources for Aesthetics and Functionality in Ear Reconstruction (Advances in Oto-Rhino-Laryngology, Vol. 68)

Sample text

Pain at the donor site can be significantly diminished by an intercostal block with ropivacaine injected at the inferior borders of the 6th to 9th ribs; this is very well tolerated by the children. Hence, our long-term experience tells us that one cannot use donor site sequelae as a reason to justify using synthetic material or taking a minimal cartilage harvest. Carving the framework should not be an obstacle either, as this can be mastered after a steep learning curve [4]. Sculpture of the Framework The preparation of the framework follows a well-established step-by-step procedure (fig.

The different pieces will be fixed on the base, which is typically drawn on 2 adjacent ribs, over a synchondrosis. a b Fig. 2. The different steps of construction of a complete framework. a The 2 extremities of the framework are deepened. b The scapha and triangular fossa are carved. c The piece reproducing the anthelix is fixed to the base using wire sutures. d The piece reproducing the helix is also fixed to the base. e A V-shaped piece is added. f The new piece is carved to reproduce the tragus and antitragus.

17, 18). Once an outline of the ear on the abnormal side has been drawn, analysis of the possible adaptation of the remnants to the future contours of the ear is possible. The choice of skin approach can then be made. 38 Firmin Fig. 17. Estimation of the ideal location of the reconstructed ear. a In a frontal view, the position of the lobule is compared to the normal side. b Landmarks drawn on the normal side are: a line parallel to the axis of the nose and another one parallel to the axis of the ear.

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