To bring forth, as young; to yean. A lamb just brought forth; a yeanling.
No donor scars were visible, in contrast to traditional reconstructive methods. The completed auricular appearance was realistic. Auricular malformation appears as a very visible birth malformation with serious functional concerns for the child and family. Many patients with classic microtia and aural atresia demonstrate a similar appearance.
However, the appearance of the congenitally malformed auricle can vary considerably, which implies that traditional reconstruction methods might not be optimal.
Several successful techniques have been developed for the correction of ear deformities. However, techniques well suited for reconstruction of classic microtia with aural atresia are not always ideal for unique ear malformations.
Rib reconstruction involves painful rib removal as well as scarring at both the rib donor site and separate large skin donor site, usually on the abdomen, thigh, or back.
The use of a high-density polyethylene implant involves a temporoparietal fascia flap, with occasional scalp scarring and balding, plus a large donor skin graft. Prosthetic ear reconstruction involves placement of titanium posts in the skull, with undesirable scarring at the auricular site as well as a lifetime of hygiene for the scalp and many replacement prostheses.
Traditional procedures are multistaged. Importantly, the reconstructed ears do not feel normal to the touch with any of the foregoing methods. Such trade-offs are worthwhile for classic ear malformations, which require importation of substantial reconstruction material.
However, some ear malformations are atypical and can benefit from an individualized surgical approach with reduced morbidity.
To provide a customized reconstruction of individual ears, we describe 1- or 2-stage procedures developed for special types of malformation or traumatic deformation. Morbidity was reduced because large grafts were unnecessary.
No donor site scarring was visible, a significant advantage to the patient in later life for intimate situations.
In addition, each ear felt normal to the touch, which is unique to this approach. Methods The techniques described in this article are indicated for patients who have an atypical auricular appearance with some anatomic segment that resembles a normal ear.
Soft-tissue reconstruction surgery currently is not recommended for patients with classic microtia, anotia, or substantial traumatic auricular loss. Also of note, although some of the auricular malformations might appear to be mild, the condition was often more severe than initially appreciated.
In addition, the surgical correction can be more challenging than a standardized microtia repair. Preoperatively, parents were informed in general that the auricle was atypical and that a customized procedure, rather than a traditional operation, could be attempted.A year-old male suffering from auricular malformation and atresia auris of his right ear since birth visited our department in October The patient desired placement of an ear epithesis supported by osseointegrated implants.
An epithesis is a prosthesis that replaces soft tissue. This offers a solution for patients with a facial defect. CASE DESCRIPTION: A year-old woman, who had undergone ablative surgical treatment for a squamous cell carcinoma of the left ear, was left with a large defect in the mastoid region.
external ear, eye, or nasal structures caused by ablative tumor sur-gical attempts, congenital disorders, or trauma.4Y7 Sometimes, when craniofacial implants are placed secondary to the removal of extra- Epithesis was anchored to the bars that were fabricated to provide.
Craniofacial reconstructions with bone-anchored epithesis in head and neck cancer patients - A valid way back to self-perception and social reintegration. Following healing and stabilization of the surgical site, the patient was sent to the anaplastology technician who prepared the epithesis, modeling it with reference to the contralateral ear and carefully matching the individual’s skin colour (Figures 3(b) and 3(d)).
The silicone epithesis was created using a . An adhesive-retained ear epithesis was designed for two patients. The margins of epitheses were sealed by using tissue adhesives; this along with the mechanical support of tissue undercuts promoted the retention of epitheses.
Patients were clinically.