Advertisement

Reconstruction of Constricted Ears by Combing Bilateral Cartilage Flaps Bridging With V-Y Advancement Flap

  • Author Footnotes
    † These authors contributed equally to this study
    Ji Zhu
    Footnotes
    † These authors contributed equally to this study
    Affiliations
    Department of Plastic Surgery, Changhai Hospital, Naval Military Medical University, Shanghai, 200433, China
    Search for articles by this author
  • Author Footnotes
    † These authors contributed equally to this study
    Yuai Xiao
    Footnotes
    † These authors contributed equally to this study
    Affiliations
    Department of Plastic Surgery, Changhai Hospital, Naval Military Medical University, Shanghai, 200433, China
    Search for articles by this author
  • Author Footnotes
    † These authors contributed equally to this study
    Mengyan Sun
    Footnotes
    † These authors contributed equally to this study
    Affiliations
    Department of Plastic Surgery, Changhai Hospital, Naval Military Medical University, Shanghai, 200433, China
    Search for articles by this author
  • Yuchong Wang
    Affiliations
    Department of Plastic Surgery, Changhai Hospital, Naval Military Medical University, Shanghai, 200433, China
    Search for articles by this author
  • Chuan Lü
    Correspondence
    Corresponding author: Chuan Lü, Department of Plastic Surgery, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai, 200433, China
    Affiliations
    Department of Plastic Surgery, Changhai Hospital, Naval Military Medical University, Shanghai, 200433, China
    Search for articles by this author
  • Chunyu Xue
    Correspondence
    Corresponding author: Chuan Lü, Department of Plastic Surgery, Changhai Hospital, Naval Medical University, 168 Changhai Road, Shanghai, 200433, China
    Affiliations
    Department of Plastic Surgery, Changhai Hospital, Naval Military Medical University, Shanghai, 200433, China
    Search for articles by this author
  • Author Footnotes
    † These authors contributed equally to this study
Published:November 23, 2022DOI:https://doi.org/10.1016/j.bjps.2022.11.052

      Summary

      Background

      Despite a number of surgical procedures for the reconstruction of moderate to severe constricted ears described in the literature, a most cost-effective method remains to be explored. How to maximize the full use of the ear cartilage and surrounding skin while achieving best results is still a challenge.

      Methods

      From 2011 to 2016, seven constrictd-ear patients were enrolled in this study. Five of them were moderate (type IIB Tanzer classification) deformities, and two were severe (type III Tanzer classification). All constrictd ears were treated with bilateral cartilage flaps bridging and the V-Y advancement flap from preauricular skin with the option of inserting a conchal cartilage graft if additional stability was required. Mean follow-up period was 4.0±3.5years.

      Results

      All patients were satisfied with significant increase in the height of the constricted ears, also with reconstruction of scapha and antihelix. The surgical scar was not obvious. No complications were observed. Long-term follow-up revealed that the reconstructive procedure produced the long-lasting cosmetic results.

      Conclusion

      Combination of bilateral cartilage flaps bridging with V-Y advancement of preauricular flap can make full use of its deformed tissue and surrounding skin. The method is effective and reliable in reconstruction of moderate and some severe constricted ears.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Kelley P
        • Hollier L
        • Stal S.
        Otoplasty: evaluation, technique, and review.
        J Craniofac Surg. 2003; 14: 643-653
        • Tanzer RC.
        The constricted (cup and lop) ear.
        Plast Reconstr Surg. 1975; 55: 406-415
        • Janz BA
        • Cole P
        • Hollier LH
        • Stal S.
        Treatment of prominent and constricted ear anomalies.
        Plast Reconstr Surg. 2009; 124: 27e-37e
        • Paredes AA
        • Williams JK
        • Elsahy NI.
        The constricted ear.
        Clin Plast Surg. 2002; 29
        • Ohjimi H
        • Era K
        • Kinoshita K
        • Fukuda T
        • Shiratake Y.
        Double pennant technique: elongating the helix using rim flaps to correct the constricted ear.
        Ann Plast Surg. 2004; 53: 465-468
        • Cosman B.
        The constricted ear.
        Clin Plast Surg. 1978; 5: 389-400
        • Ono I
        • Gunji H
        • Sato M
        • Kaneko F.
        A method of treatment of constricted ears with a conchal cartilage graft to the posterior auricular plane.
        Plast Reconstr Surg. 1993; 92: 621-627
        • Park C.
        The tumbling concha-cartilage flap for correction of lop ear.
        Plast Reconstr Surg. 2000; 106: 259-265
        • Egemen O
        • Ozkaya O
        • Barutca SA
        • Aksan T
        • Akan M.
        Tanzer group IIB constricted ear repair with helical advancement and superior auricular artery chondrocutaneous flap.
        J Craniofac Surg. 2012; 23: 728-731
        • Demir Y.
        Correction of constricted ear deformity with combined V-Y advancement of the crus helicis and perichondrioplasty technique.
        Plast Reconstr Surg. 2005; 116: 2044-2046
        • Pan B
        • Zhao Y
        • Zhuang H
        • et al.
        Tumbling cartilage flap and free auricular composite tissue transplantation for correcting mild and moderate forms of constricted ear.
        Arch Facial Plast Surg. 2010; 12: 241-244
        • Xiaogeng H
        • Hongxing Z
        • Qinghua Y
        • Haiyue J
        • Yanyong Z.
        A new method for correcting type I and type II constricted (cup and lop) ears.
        Aesthetic Plast Surg. 2006; 30: 449-454
        • Elshahat A.
        • Lashin R.
        Reconstruction of Moderately Constricted Ears by Combining V-Y Advancement of Helical Root, Conchal Cartilage Graft, and Mastoid Hitch.
        Eplasty. 2016; 16: e19
        • Horlock N
        • Grobbelaar AO
        • Gault DT.
        5-year series of constricted (lop and cup) ear corrections: development of the mastoid hitch as an adjunctive technique.
        Plast Reconstr Surg. 1998; 102
        • Daniali LN
        • Rezzadeh K
        • Shell C
        • et al.
        Classification of Newborn Ear Malformations and their Treatment with the EarWell Infant Ear Correction System.
        Plast Reconstr Surg. 2017; 139: 681-691