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Chirurgia 2005 August;18(4):147-52

language: Italian

Historical review of ear reconstruction. Part I. Injuries and mutilations

Fama U., Frati R., Irace S.


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For plastic surgeons, ear reconstruction has ben always considered as a difficult topic because of frequent surgical failures as well as unsatisfactory esthetic outcomes. This is mainly due to the ear complex anatomical structure and to the wide range of clinical features. Both in congenital malformation and ear trauma, several surgical procedures (i.e. grafts, microvascular reimplants) as well as different alloplastic frameworks (I.e. silicone, tantalium, Dacron) have been adopted. However, autogenous costal cartilage remains the most appropriate and reliable tissue for ear reconstruction. Over the years, surgical reconstructive procedures have been improved and optimized by B.Brent and S.Nagata, whose postoperative outcomes have been extremely good, although their reconstructive procedures should require a wide experienced and specialized surgeon. The authors have carried out a literature survey and present their own opinion on the basis of personal experience.

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