8-AURICULAR RECONSTRUCTION BY COSTAL CARTILAGE GRAFT IN BASRAH PROVENCE

• Main Author: JABIR R HAMEED
• Format: Article
• Language: English
• Published: university of basrah 2009-12-01
• Series: Basrah Journal of Surgery
• Subjects: auricular; graft; reconstruction
• Online Access: https://bjsrg.uobasrah.edu.iq/article_55611_9afe8fa8d1f363628224496b5e7a1c59.pdf
• ISSN: 1683-3589; 2409-501X

Auricular reconstruction represents a meticulous reconstructive and aesthetic problem to the plastic surgeon. One of the greatest challenges in facial plastic surgery is total ear reconstruction. The ability to reconstruct a fully satisfactory complete external ear has for centuries been an elusive goal. The most promising field of advances with the hope of eventually clinical utility lies in the realm of bioengineering with cultured cartilage. To date, no perfect material has been found to substitute for the sharply elastic cartilage normally present in ear, the matter of total auricular reconstruction remain very complex, Prosthetic restoration is not favored by most but does remain available option for many patients. Tissue engineers have waited to create a precise three dimensional auricular reconstruction neocartilage. Ten patients were operated upon for auricular reconstruction in Basrah Alsader Teaching Hospital. The operation had 2 stages: First stage, creation and implantation of framework cartilage graft, which harvested from the 6th ,7th & 8th ribs. The second stage, was detachment of the constructed auricles ear lobe transposition and post auricular sulcus was defined by separating the constructed auricle from the head covering the under surface with a thick split thickness skin graft. The success rate was 90% with good and satisfactory result except in one case; there was infection with loss of the cartilage.