ISSN 1808-8686 (on-line) - 3944 - Portuguese Version 
Year: 2010 Vol. 76 Ed. 1 - (2º)
Artigo Original
Pages: 7 to 13
Partial reconstruction of the external ear after a trauma - simple and efficient techniques
Author(s): Monica Rebello Ottat1
Keywords: traumatic amputation, surgery, acquired ear deformities, pinna.
Abstract: The growing number of ear trauma cases has brought about the need for simple and efficient solutions. Aim: To be able to rebuild an ear partially injured by trauma, even in a small hospital setting. Many techniques can be used; however, the solution can be the use of cutaneous or chondrocutaneous flaps. Methods: To reconstruct the ear upper or middle thirds we used a mastoid cutaneous flap with or without a cartilage graft or a chondrocutaneous flap - chosen considering the size of the defect and the need for a cartilage graft. Results: The patients were able to wear glasses and were pleased with the results. Most of the patients ended up having a good helix and cartilaginous contour. Some had hypertrophic scars on the grafted areas and two required a second procedure. Conclusion: Mastoid cutaneous flaps or local chondrocutaneous flaps can represent a good solution for partial ear loss after trauma. Most of the patients had very high expectations concerning the procedure. This poses a major technical challenge for the surgeon and requires prior discussion with the patients regarding the true possibilities of outcome.
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