Surgical approach helps correct type I to III congenital concha-type microtia
The surgical method involving a combination of cross flap and autogenous auricular cartilage transplantation was effective in treating patients with type I to III congenital concha-type microtia, and therefore, this surgical approach can be applied widely to correct this deformity, reports a study conducted at the Department of Auricular Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
The study is published in the Ear, Nose and Throat Journal.
Pengfei Sun and associates conducted the present study which attempted to investigate the clinical efficacy of a surgical method involving a combination of cross flap with autologous auricular cartilage transplantation in the treatment of type I to III congenital concha-type microtia.
The present retrospective study was conducted on the clinical and postoperative data of 50 patients with unilateral type I to III concha-type microtia treated with a combination of cross flap and autologous auricular cartilage transplantation at the Plastic Surgery Hospital of Chinese Academy of Medical Sciences.
The following observations were noted-
a. The postoperative perimeters of malformed ears were significantly larger than the preoperative perimeters (P < .05).
b. Of the total, 2 patients exhibited incision dehiscence, 3 patients exhibited incision infection, 2 patients exhibited flap hematoma, and 1 patient exhibited ischemic necrosis at the flap tip.
c. The satisfaction rate of the patients and their families was 100%.
As a result, the authors concluded that the combination of cross flap and autogenous auricular cartilage transplantation is an effective procedure for correcting type I to III congenital concha-type microtia.
The authors also inferred that after surgery, the perimeters of the malformed ears increased significantly, with fewer complications, and the patients and their families were highly satisfied. Therefore, this procedure can be widely used for the treatment of type I to III congenital concha-type microtia.
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