Nose and Ear Reconstruction Following Tumor Extirpation

2020 ◽  
pp. 295-334
Author(s):  
Petros Konofaos ◽  
Charles A. Pierce ◽  
Xi Lin Jing ◽  
Robert D. Wallace
Keyword(s):  
Ear Reconstruction ◽  
Tumor Extirpation

Total Ear Reconstruction with Prelaminated Radial Forearm Flap

2006 ◽  
Vol 22 (03) ◽  
Author(s):  
Catarina Rober ◽  
Fabio Aki ◽  
Luis Ishida ◽  
Julio Morais
Keyword(s):  
Radial Forearm Flap ◽  
Ear Reconstruction ◽  
Forearm Flap ◽  
Radial Forearm

Ear Reconstruction

2010 ◽  
pp. 395-400
Author(s):  
Bruce S. Bauer ◽  
Erik K. Bauer
Keyword(s):  
Ear Reconstruction

scholarly journals Repair Exposure of the Postauricular Tissue Expander Using the Modified Brent Method: A 7-Year Experience

2021 ◽  
pp. 014556132110079
Author(s):  
Tongyu Cao ◽  
Qingguo Zhang
Keyword(s):  
Soft Tissue ◽  
Skin Flap ◽  
Tissue Expander ◽  
Tissue Expansion ◽  
Ear Reconstruction ◽  
Lower Pole ◽  
Tension Free ◽  
Subsequent Exposure ◽  
Free Closure ◽  
Complicated Conditions

Objectives: Ear reconstruction is a challenging surgery for the complicated conditions in patients with microtia. The tissue expansion techniques were necessary and relatively safe for patients with insufficient soft tissue. However, complications such as necrosis of expanded flap and exposure of tissue expander limited the popularization of this method. This study described the use of modified Brent method to handle the exposure of the postauricular tissue expander. Methods: From January 2013 to December 2019, 27 ear reconstruction patients with trauma or necrosis on an expanded skin flap and subsequent exposure of tissue expander were treated with modified Brent method, which consisted of 3 stages: removal of the expander, tension-free closure of wound, and framework fabrication; elevation of reconstructed ear; lobule rotation; and minor modification. Results: Fifty-six percent of exposures occurred in the lower pole of the tissue expander. Exposure usually occurred 54.5 days after implantation. The majority of reconstructed ears had a satisfactory appearance and showed relatively stable outcomes. Only one case of cartilage exposure required revision surgery and was repaired by the temporoparietal fascia. Conclusion: With reasonable distribution of expanded flap, prolonged interval, and sutures under tension-free conditions, complications like the occurrence of trauma or necrosis-induced exposure of tissue expander can be repaired efficiently by a staging modified Brent method.

Canadian Trends in Free Flap Management for Microsurgical Lower Limb Reconstruction

2021 ◽  
pp. 229255032110196
Author(s):  
Michelle Bonapace-Potvin ◽  
Alexander Govshievich ◽  
Laurent Tessier ◽  
Mihiran Karunanayake ◽  
Dominique Tremblay ◽  
...  
Keyword(s):  
Lower Limb ◽  
Free Flaps ◽  
Online Questionnaire ◽  
Limb Reconstruction ◽  
Changing Practice ◽  
Current State ◽  
Lower Limb Reconstruction ◽  
Tumor Extirpation ◽  
Based Medicine ◽  
Previous Training

Introduction: Free tissue transfers have become a mainstay in lower limb salvage, allowing safe and reliable reconstruction after trauma, tumor extirpation, and complex wounds. The optimal perioperative (PO) management of these flaps remains controversial. This study aims to assess the current state of practice among Canadian microsurgeons. Methods: Sixty-four Canadian microsurgeons were approached to complete an online questionnaire regarding their PO management of fasciocutaneous free flaps used for lower limb reconstruction. Trends in dangling timing and duration, use of venous couplers, compressive garments, thromboprophylaxis, and surgeons’ satisfaction with their protocol were assessed. Results: Twenty-eight surgeons responded. Fifty-seven percent did not have a specific mobilization protocol. Dangling was mainly initiated on postoperative days 5 to 6 (44%). The most common protocol duration was 5 to 6 days (43%). The concern for prolonged venous pooling was the main reason for delay of dangling (71%). Compressive garments were placed routinely by 12 surgeons (43%) with 20% starting before dangling, 46% with dangling, and 33% after dangling. Venous couplers were routinely used by 24 surgeons (85.7%). Trends in management were influenced by previous training in 53.6% of cases (vs evidence-based medicine 7.1%). Although 89.3% were satisfied with their approach, 92.8% would consider changing practice if higher-level evidence was available. Conclusions: The majority of Canadian microsurgeons initiate dangling early and utilize venous couplers. However, the use of compressive garments is limited. Trends in management are largely based on personal experience. Nearly all surgeons would consider changing their practice if higher-level evidence was available.

Total Ear Reconstruction in the Devascularized Temporoparietal Region: II. Use of the Omental Free Flap

2003 ◽  
Vol 111 (4) ◽  
pp. 1391-1397 ◽  
Author(s):  
Chul Park ◽  
Tai Suk Roh ◽  
Hoon Sang Chi
Keyword(s):  
Free Flap ◽  
Ear Reconstruction ◽  
Region Ii

Ear Reconstruction after Auricular Chondritis Secondary to Ear Piercing

2003 ◽  
Vol 111 (2) ◽  
pp. 891-897 ◽  
Author(s):  
Alexander Margulis ◽  
Bruce S. Bauer ◽  
Kaveh Alizadeh
Keyword(s):  
Ear Reconstruction ◽  
Ear Piercing ◽  
Auricular Chondritis

A New Continuous Suture Technique in Ear Reconstruction With Full-Thickness Skin Grafts

2012 ◽  
Vol 23 (4) ◽  
pp. 1196-1197
Author(s):  
Russell James Bramhall ◽  
Mark Gorman ◽  
Muhammad Adil Abbas Khan ◽  
Muhammad Riaz
Keyword(s):  
Suture Technique ◽  
Ear Reconstruction ◽  
Skin Grafts ◽  
Full Thickness ◽  
Continuous Suture ◽  
Full Thickness Skin ◽  
Thickness Skin
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