Un unprecedent auricular reconstruction

ABSTRACT

Introduction:

As auricular reconstruction is a very difficult procedure, patients are unfortunately sometimes found in doctor's surgeries who have previously been operated on with disastrous results that are impossible to correct or improve upon with known methods. Some of these patients accept the result achieved, while others do not and thus seek a better solution. What is to be presented now cannot be found in other publications and may be added to the specialty's arsenal as a new method. This work focuses on a twenty-one-year-old patient born with microtia on the right side who, between the age of six and the day of their consultation, had undergone twenty-five unsuccessful operations.

Casuistry and method:

Only one case was operated on and the method consisted of the transfer of all the retroauricular skin from the left ear in order to cover the right auricular region and thus create an ear. The fingertips of the 2nd and 3rd fingers of the right hand were used as vectors.

Result:

The author had a satisfactory result within the desired expectations.

Conclusion:

It is possible to use fingertips as a vector for the transfer of auricular flaps for complicated cases of auricular or facial reconstruction.

Keywords:
Otoplasty; Microtia; Flaps; Vectors