Auricular reconstruction is 1 of the biggest challenges of facial plastic surgery. The aim of this study was to evaluate the efficacy of 1-stage reconstruction of an auricle using a temporoparietal fascia flap (TPFF).
In this nonrandomized study, autologous auricle bodies with emergency condition and cartilaginous graft from projection of a costal arch from the VI–VII ribs were used. Temporal fascia sample with vascular pedicle (a temporal artery with the accompanying veins) by the Z-shaped incision of skin in temporal area for auricular reconstruction was extracted. Skin grafts were taken from the supraclavicular area or from the left or right flank. Grafts of partial auricle bodies (n = 8) along with cartilaginous framework from a costal arch (n = 21) were used for auricle reconstruction. The follow-up period studied after 6 months in 29 operated patients.
The graft of partial auricle bodies or the graft of a cartilaginous framework from a costal arch presented a perfect auricular reconstruction. By avoiding a difficult microsurgery and its possible complications, the use of TPFF led to beneficial results in 75% and 90.4% of cases, respectively. Overall, no major complication (alopecia, hematoma, or necrosis) occurred, and further surgery was not required.
TPFF is a technique of choice for surgical treatment of traumatic auricle defects.
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From the *Republican Scientific Center of Cardiovascular Surgery
†Avicenna Tajik State Medical University, Dushanbe, Tajikistan
‡Khatlon State Medical University, Dushanbe, Tajikistan
§Institute of Postgraduate Education in the Field of Public Health of the Republic of Tajikistan, Dushanbe, Tajikistan;
¶DPIEM, Tajikistan Academy of Sciences, Dushanbe, Tajikistan; and
‖Sorbonne Paris Cité University - Paris Diderot, Lariboisiere Hospital, INSERM U965, Paris, France.
Published online 2 May 2018.
Received for publication June 20, 2017; accepted February 7, 2018.
Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.
Massoud Mirshahi, MD, PhD, University of Sorbonne Paris Cité - Paris 7, Lariboisière Hospital, INSERM U965, 41 Bd de la Chapelle, 75010, Paris, France, E-mail: firstname.lastname@example.org