Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap

Background Reconstruction of congenital microtia remains challenging, particularly in patients with a history of ear canaloplasty due to insufficient regional soft tissue. The insertion of a tissue expander prior to implantation of the cartilage framework has traditionally been employed. However, th...

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Autores principales:	Hae Yeon Park, Kyeong-Tae Lee, Eun-Ji Kim, Kap Sung Oh
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society of Plastic and Reconstructive Surgeons 2021
Materias:	congenital microtia surgical flaps tissue expansion Surgery RD1-811
Acceso en línea:	https://doaj.org/article/40ef3c070ae443fca514faf096bb4f2f
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spelling	oai:doaj.org-article:40ef3c070ae443fca514faf096bb4f2f2021-11-25T06:04:37ZReconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap2234-61632234-617110.5999/aps.2021.00381https://doaj.org/article/40ef3c070ae443fca514faf096bb4f2f2021-11-01T00:00:00Zhttp://www.e-aps.org/upload/pdf/aps-2021-00381.pdfhttps://doaj.org/toc/2234-6163https://doaj.org/toc/2234-6171Background Reconstruction of congenital microtia remains challenging, particularly in patients with a history of ear canaloplasty due to insufficient regional soft tissue. The insertion of a tissue expander prior to implantation of the cartilage framework has traditionally been employed. However, this procedure could induce additional morbidity. Herein, we present a method using V-Y advancement of a temporal triangular flap to gain additional soft tissue in these challenging cases. Methods Congenital microtia patients with a history of ear canaloplasty who underwent auricular reconstruction using the Nagata technique between 2016 and 2020 were reviewed. To obtain additional soft tissue, V-Y advancement of a temporal triangular flap was performed concurrently with implantation of the costal cartilage framework, without prior insertion of a tissue expander. The outcomes of these patients with respect to postoperative complications and esthetics were evaluated. Results Eight patients with bilateral lesions were included. No specific complications developed after the first-stage surgery. However, one patient experienced complications after the second stage (auricular elevation). An analysis of the esthetic results showed most patients had excellent outcomes, achieving a satisfactory convolution. The median number of operations needed to complete reconstruction was 2, which was fewer than required using the conventional method with prior insertion of a tissue expander. Conclusions In patients with a history of previous canaloplasty, V-Y advancement of a temporal triangular flap could serve as an alternative to tissue expansion for microtia reconstruction. This technique provided reliable and satisfactory results with a reduced number of surgical stages.Hae Yeon ParkKyeong-Tae LeeEun-Ji KimKap Sung OhKorean Society of Plastic and Reconstructive Surgeonsarticlecongenital microtiasurgical flapstissue expansionSurgeryRD1-811ENArchives of Plastic Surgery, Vol 48, Iss 6, Pp 614-621 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	congenital microtia surgical flaps tissue expansion Surgery RD1-811
spellingShingle	congenital microtia surgical flaps tissue expansion Surgery RD1-811 Hae Yeon Park Kyeong-Tae Lee Eun-Ji Kim Kap Sung Oh Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap
description	Background Reconstruction of congenital microtia remains challenging, particularly in patients with a history of ear canaloplasty due to insufficient regional soft tissue. The insertion of a tissue expander prior to implantation of the cartilage framework has traditionally been employed. However, this procedure could induce additional morbidity. Herein, we present a method using V-Y advancement of a temporal triangular flap to gain additional soft tissue in these challenging cases. Methods Congenital microtia patients with a history of ear canaloplasty who underwent auricular reconstruction using the Nagata technique between 2016 and 2020 were reviewed. To obtain additional soft tissue, V-Y advancement of a temporal triangular flap was performed concurrently with implantation of the costal cartilage framework, without prior insertion of a tissue expander. The outcomes of these patients with respect to postoperative complications and esthetics were evaluated. Results Eight patients with bilateral lesions were included. No specific complications developed after the first-stage surgery. However, one patient experienced complications after the second stage (auricular elevation). An analysis of the esthetic results showed most patients had excellent outcomes, achieving a satisfactory convolution. The median number of operations needed to complete reconstruction was 2, which was fewer than required using the conventional method with prior insertion of a tissue expander. Conclusions In patients with a history of previous canaloplasty, V-Y advancement of a temporal triangular flap could serve as an alternative to tissue expansion for microtia reconstruction. This technique provided reliable and satisfactory results with a reduced number of surgical stages.
format	article
author	Hae Yeon Park Kyeong-Tae Lee Eun-Ji Kim Kap Sung Oh
author_facet	Hae Yeon Park Kyeong-Tae Lee Eun-Ji Kim Kap Sung Oh
author_sort	Hae Yeon Park
title	Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap
title_short	Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap
title_full	Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap
title_fullStr	Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap
title_full_unstemmed	Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap
title_sort	reconstruction of congenital microtia after ear canaloplasty using v-y advancement of a temporal triangular flap
publisher	Korean Society of Plastic and Reconstructive Surgeons
publishDate	2021
url	https://doaj.org/article/40ef3c070ae443fca514faf096bb4f2f
work_keys_str_mv	AT haeyeonpark reconstructionofcongenitalmicrotiaafterearcanaloplastyusingvyadvancementofatemporaltriangularflap AT kyeongtaelee reconstructionofcongenitalmicrotiaafterearcanaloplastyusingvyadvancementofatemporaltriangularflap AT eunjikim reconstructionofcongenitalmicrotiaafterearcanaloplastyusingvyadvancementofatemporaltriangularflap AT kapsungoh reconstructionofcongenitalmicrotiaafterearcanaloplastyusingvyadvancementofatemporaltriangularflap
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Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap

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