Craniofacial asymmetry is often observed in microtia patients, due to the accompanied
craniofacial microsomia deformity, such as mandibular dysplasia and/or depression
of the mastoid region, which makes it difficult to obtain symmetrical results in ear
reconstruction.
1
In the process of reconstruction, both ear location and framework fabrication are
interfered by the asymmetry. Mandibular hypoplasia and the heterotopic residual ear
cannot be regarded as an appropriate locating reference, which poses difficulties
to the surgeon when determining the location for the reconstructed ear. Moreover,
depression of the mastoid region hinders assessment of morphological parameters, especially
the height of the framework of the reconstructed ear. To enhance the aesthetic and
symmetric outcomes in patients with microtia and mild skull malformations, we developed
a digital simulation technology to adjust the location and calculate the parameters
of the framework in ear reconstruction surgery.To read this article in full you will need to make a payment
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References
- The surgical management of first and second branchial arch syndromes.Plast Reconstr Surg. 1963; 31: 507
- Microtia: ear reconstruction using tissue expander and autogenous costal cartilage.J Plast Reconstr Aesthetic Surg. 2008; 61: S98-S103
- Modification of the stages in total reconstruction of the auricle: part IV. Ear elevation.Plast Reconstr Surg. 1994; 93: 254-266
Article info
Publication history
Published online: February 09, 2019
Accepted:
January 18,
2019
Received:
September 11,
2017
Identification
Copyright
© 2019 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.
