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Case Report
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| The fade of postauricular sulcus after microtia reconstruction with overly expanded mastoid skin | ||||||
| Nazim Gümüş | ||||||
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Associate Professor, Mersin University, Faculty of Medicine, Plastic Reconstructive and Aesthetic Surgery Department, Mersin, Turkey
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| Gümüş N. The fade of postauricular sulcus after microtia reconstruction with overly expanded mastoid skin. Edorium Open 2018;1:100003Z95NG2018. |
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ABSTRACT
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Introduction:
Tissue expansion offers sensate tissue of similar color, texture and thickness to be utilized to cover the defect areas. However, expanded flap contraction may become an important factor affecting the stability and long-term results of some special reconstructions such as microtia repair. The presented case was postauricular sulcus of an ear reconstructed with overly expanded mastoid skin, showing the long term effect of flap contraction on it.
Case Report: A six-year-old girl was presented to our clinic with a complain of right microtic ear. Reconstruction of the microtia was planned, using a tissue expander and autogenous cartilage frame. A 110-ml expander was inserted under the mastoid skin. When volume of expander reached 135 ml, it was removed and cartilage framework was inserted into the pocket and lobule was transposed to the lower pole of the ear. In the early postoperative period, there were significant edema and hyperemia in the reconstructed ear. However, abundant flap tissue appeared both the anterior and posterior surfaces of the ear. In the follow-up period of 15 months, the depth of postauricular sulcus gradually decreased in the upper two-thirds of it. Conclusion: Coverage of auricular cartilage framework by using only expanded mastoid skin eliminates the necessity of the use of postauricular facial flap and additional skin graft, but it poses a risk for contraction in the flap reducing the depth of postauricular sulcus. | |
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Keywords:
Flap contraction, Microtia, Postauricular sulcus, Tissue expansion
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Author Contributions
Nazim Gümüş – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of Submission
The corresponding author is the guarantor of submission. |
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Source of Support
None |
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Conflict of Interest
Author declares no conflict of interest. |
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Copyright
© 2018 Nazim Gümüş. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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