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Surgery of the Auricle

Brent, Burt M.D.

Plastic and Reconstructive Surgery: March 2008 - Volume 121 - Issue 3 - p 1059-1060
doi: 10.1097/01.prs.0000307728.51555.a9
  • Free

Surgery of the Auricle

By Hilko Weerda. Pp. 326. Thieme, New York, N.Y., 2007. Price: $229.95.

Surgical construction of the outer ear with autogenous tissues is a most demanding blend of art and science. Over the years, many surgeons have visited me in the operating room and office, yet only a handful have become true artisans of surgical auricular repair. Hilko Weerda is indeed one of the gifted few, applying his impressive extracurricular artistic skills in the operating theater.

Dr. Weerda has produced an outstanding comprehensive text dedicated to the surgical management of auricular deformity, addressing congenital malformations and acquired defects as well as purely aesthetic otoplasty. Weerda's Surgery of the Auricle opens with an excellent section on Basic Principles, which covers anatomy, anthropometry, and aesthetic and basic principles of plastic surgery as they apply to the auricle. Next he thoroughly addresses tumors of and trauma to the external ear, including burn management, otohematoma, frostbite, and auricular amputation.

The next section of the book is dedicated to reconstruction of regional ear defects. It thoroughly covers techniques for each section of the auricle, such as the helix, upper, middle, and lower thirds; the earlobe; and the concha. He next delves into developmental abnormalities, beginning with an excellent section on embryology and the classification of auricular malformations. There are wonderful photographic examples of every type of congenital auricular defect imaginable, with corresponding drawings that show which of the six embryologic hillocks are responsible for the configuration mishap. This large section of the book deals with prominent ears and their surgical management, then tackles microtia, cryptotia, Stahl's and satyr ears, and constricted cup ears.

Weerda next thoroughly addresses surgery of the middle ear for functional restoration of hearing in aural atresia. This section covers diagnostic radiology, atresia repair, and the bone-anchored hearing aid, as well as bone-conductive aids and prostheses. The final section of the book covers such subjects as hemifacial microsomia and human cartilage engineering.

In summary, Weerda's Surgery of the Auricle is an outstanding text on the ear, certainly the finest ever published.


Burt Brent, M.D.

Online CME Collections

Plastic and Reconstructive Surgery is pleased to offer you Online CME Collections. Each collection represents a number of CME articles published in the Journal.These articles are suitable for use as study guides for board certification, to help readers re-familiarize themselves on a particular topic, or to serve as useful reference articles. Articles less than 3 years old can be taken for CME credit.

Articles are grouped in the following compilations:

  • According to year of publication (14 articles/collection)
    • – 7 complete collections, 1999 to 2005
    • – 1 collection in process, 2006
  • By topic (articles through October of 2006)
    • – Breast (9 articles)
    • – Cosmetic (17 articles)
    • – Hand/Peripheral Nerve (13 articles)
    • – Pediatric/Craniofacial (26 articles)
    • – Reconstructive–Head and Neck (20 articles)
    • – Reconstructive–Trunk (15 articles)
    • – Reconstructive–Lower Extremity (5 articles)

Article Format

The CME articles reflect the evolution of online presentation: CME articles from 1999 are viewable in HTML format only. All CME articles from 2000 onward are in PDF format. All articles can be printed out if desired.


All CME articles from 1999 to 2003 have the tests included at the end of the article. These CMEs cannot be taken for credit. Answer keys are not available, but answers to every question can be found within the article.

All CME articles less than 3 years old (beginning with the January 2004 CME article) are still “active”; their tests can be taken for CME credit. Tests for these CME articles can be found on the Journal Web site, under the “Online CME Articles/Tests” link. If you have not yet taken these CME tests, we encourage you to do so.

Section Description

As a service to our readers, Plastic and Reconstructive Surgery® reviews books, DVDs, practice management software, and electronic media items of educational interest to reconstructive and aesthetic surgeons. All items are copyrighted and available commercially. The Journal actively solicits information in digital format (e.g., CD-ROM and Internet offerings) for review.

Reviewers are selected on the basis of relevant interest. Reviews are solely the opinion of the reviewer; they are usually published as submitted, with only copy editing. Plastic and Reconstructive Surgery® does not endorse or recommend any review so published. Send books, DVDs, and any other material for consideration to: Jack A. Friedland, M.D., Review Editor, Plastic and Reconstructive Surgery, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, HD1.544, Dallas, Texas 75390-8820.

©2008American Society of Plastic Surgeons