Congenital

Auricular Deformities

Donor site reconstitution for ear reconstruction

Fattah A, Sebire NJ, Bulstrode NW (Great Ormond St Hosp for Children NHS Trust, London, UK) J Plast Reconstr Aesth Surg 63:1459-1465, 2010^§

Abstract

Background

Current techniques of autologous ear reconstruction involve the soft tissue coverage of a carved costal cartilage framework. However, assessment of the morbidity associated with this donor site has been little documented. This study describes a method to reconstruct the defect and analyses the outcomes with or without donor site reconstitution.

Methods

The donor site was reconstituted by wrapping morcelised cartilage in a vicryl mesh. Twenty-one patients with reconstitution and nine without were recruited to the study. Scar quality and length, dimensions of donor defect and visible deformity were recorded according to a modified Vancouver scar scale. Patients were also assessed by the SF36 questionnaire, a well-validated health survey. In a subset of our study group, we assessed the fate of the donor site reconstitution by direct visualisation in situ and histological analysis.

Results

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