Posttraumatic reconstruction of a partial ear loss

Authors

Keywords:

outer ear, outer ear cartilage, tissue transplant, reconstruction.

Abstract

Introduction: The aims of auricular reconstruction are to maintain the permeability of the external auditory canal and restore general shape and projection.

Objective: Characterize a clinical case of posttraumatic reconstruction of a partial ear loss, highlighting the importance of the therapy sequence followed.

Clinical case presentation: A male 26-year-old patient attends outpatient consultation. He reports that he was treated in the emergency service 10 days before upon having lost a section of his ear due to a bite in a fight. Physical examination reveals irregular partial loss of the right ear. It is decided to wait three weeks and indicate preoperative checkup. At the end of that period the first surgical reconstruction session is conducted, with autologous graft of auricular cartilage from the left ear, which was placed in the form of a "pocket" in the temporal region. Three weeks after the first surgical session, the second reconstruction is performed under local anesthesia, with release of the "pocket" from the auricular region, advancement of a posterior flap and placement of a free skin graft. The patient reported great satisfaction with the esthetic results obtained.

Main remarks: A therapy sequence was followed in response to a partial traumatic defect of the outer ear in its upper and middle thirds. This type of traumatic sequel required the performance of surgical procedures at several operative moments, ensuring good blood supply to tissues, absence of tension and appropriate final esthetic results.

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Author Biography

Denia Morales Navarro, Universidad de Ciencias Médicas de La Habana, Facultad de Estomatología "Raúl González Sánchez". La Habana.

Doctora en Ciencias Estomatológicas

Especialista de segundo grado en Cirugía Maxilofacial

Profesor Titular

Investigador Auxiliar

Published

2019-08-28

How to Cite

1.
Morales Navarro D. Posttraumatic reconstruction of a partial ear loss. Rev Cubana Estomatol [Internet]. 2019 Aug. 28 [cited 2025 Feb. 10];56(3):1-11. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/2119

Issue

Section

Case Report

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