Clinical application of three methods for total ear reconstruction / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the indication and results of three methods for total ear reconstruction.</p><p><b>METHODS</b>960 cases of total ear defect were treated with skin expansion and autogenous rib cartilage framework (n = 786), or skin expansion and Medpor framework (n = 150), or ear prosthesis (n = 24). The indication and results of the three methods were analysed.</p><p><b>RESULTS</b>Good cosmetic results were achieved with all three methods. Autogenous rib cartilage framework was suitable for patients under 30 years old with unaffected skin at mastoid region. Medpor framework was good for grown-up, especially over 30 years old, or with mild infection at mastoid region. Patients with severe skin injury at mastoid region or unwilling to accept surgery should choose ear prosthesis.</p><p><b>CONCLUSIONS</b>Satisfactory results can be achieved with suitable methods for total ear reconstruction.</p>