Objective To investigate the application and effectiveness of split-thickness scalp graft and temporoparietal fascia flap in the low hairline auricle reconstruction in microtia patients.
Methods Between July 2010 and April 2015, 23 patients with low hairline microtia (23 ears) underwent low hairline auricle reconstruction. There were 16 males and 7 females with the mean age of 12 years (range, 6-34 years). The left ear was involved in 10 cases, and the right ear in 13 cases. There were 18 cases of lobule-type, 4 cases of concha-type, and 1 case of small conchatype. Referring to Nagata's two-stage auricular reconstruction method, the first stage operation included fabrication and grafting of autogenous costal cartilage framework; after 6 months, second stage operation of depilation and formation of cranioauricular sulcus was performed. The split-thickness scalp was taken from the part of the reconstructive ear above hairline. The hair follicles and subcutaneous tissue layers in hair area were cut off during operation. The area of depilation and auriculocephalic sulcus were covered with temporoparietal fascia flap. Then split-thickness skin was implanted on the surface of temporoparieta fascia flap.
Results All operations were successfully completed. Healing of incision by first intention was obtained, without related complication. The patients were followed up 6-20 months (mean, 12 months). The reconstructed ear had satisfactory appearance and had no hair growth.
Conclusion The application of splitthickness scalp graft and temporoparietal fascia flap in low hairline auricle reconstruction in microtia patients can achieve satisfactory results.
Citation：
WANGMeishui, WANGBiao, SHANXiuying, ZHENGHoubing, WUShanying, LIUZhaoliang. APPLICATION OF SPLIT-THICKNESS SCALP GRAFT AND TEMPOROPARIETAL FASCIA FLAP IN LOW HAIRLINE AURICLE RECONSTRUCTION IN MICROTIA PATIENTS. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(2): 208-210. doi: 10.7507/1002-1892.20160042
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Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg, 1993, 92(2):187-201.
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Nagata S. Modification of the stages in total reconstruction of the auricle:Part I. Grafting the three dimensional costal cartilage framework for lobule-type microtia. Plast Reconstr Surg, 1994, 93(2):221-330.
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Nagata S. Modification of the stages in total reconstruction of the auricle:Part II. Grafting the three dimensional costal cartilage framework for concha-type microtia. Plast Reconstr Surg, 1994, 93(2):231-242.
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Nagata S. Modification of the stages in total reconstruction of the auricle:Part III. Grafting the three-dimensional costal cartilage framework for small concha-type microtia. Plast Reconstr Surg, 1994, 93(2):243-253.
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Nagata S. Modification of the stages in total reconstruction of the article:Part IV. Ear elevation for the constructed auricle. Plast Reconstr Surg, 1994, 93(2):254-266.
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Chen ZC, Goh RC, Chen PK, et al. A new method for the second-stage auricular projection of the Nagata method:ultra-delicate split-thickness skin graft in continuity with full-thickness skin. Plast Reconstr Surg, 2009, 124(5):1477-1485.
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Brent B. The correction of mi-rotia with autogenous cartilage grafts:I. The classic deformity. Plast Reconstr Surg, 1980, 66(1):1-12.
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Brent B. Technical advances in ear reconstruction with autogenous rib cartilage grafts:personal experience with 1200 cases. Plast Reconstr Surg, 1999, 104(2):319-334.
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Brent B. Microtia repair with rib cartilage grafts:a review of personal experience with 1000 cases. Clin Plast Surg, 2002, 29(2):257-271.
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Firmin F. Ear reconstruction in cases of typical microtia. Personal experience based on 352 microtic ear corrections. Scand J Plast Reconstr Hand Surg, 1998, 32(1):35-47.
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- 1. Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg, 1993, 92(2):187-201.
- 2. Nagata S. Modification of the stages in total reconstruction of the auricle:Part I. Grafting the three dimensional costal cartilage framework for lobule-type microtia. Plast Reconstr Surg, 1994, 93(2):221-330.
- 3. Nagata S. Modification of the stages in total reconstruction of the auricle:Part II. Grafting the three dimensional costal cartilage framework for concha-type microtia. Plast Reconstr Surg, 1994, 93(2):231-242.
- 4. Nagata S. Modification of the stages in total reconstruction of the auricle:Part III. Grafting the three-dimensional costal cartilage framework for small concha-type microtia. Plast Reconstr Surg, 1994, 93(2):243-253.
- 5. Nagata S. Modification of the stages in total reconstruction of the article:Part IV. Ear elevation for the constructed auricle. Plast Reconstr Surg, 1994, 93(2):254-266.
- 6. Nagata S. Auricular reconstruction:Congenital auricular defects-microtia//Plastic Surgery:Indication and Practice. Phiadelphia:Saunders, 2009:671-699.
- 7. Chen ZC, Goh RC, Chen PK, et al. A new method for the second-stage auricular projection of the Nagata method:ultra-delicate split-thickness skin graft in continuity with full-thickness skin. Plast Reconstr Surg, 2009, 124(5):1477-1485.
- 8. Brent B. The correction of mi-rotia with autogenous cartilage grafts:I. The classic deformity. Plast Reconstr Surg, 1980, 66(1):1-12.
- 9. Brent B. Technical advances in ear reconstruction with autogenous rib cartilage grafts:personal experience with 1200 cases. Plast Reconstr Surg, 1999, 104(2):319-334.
- 10. Brent B. Microtia repair with rib cartilage grafts:a review of personal experience with 1000 cases. Clin Plast Surg, 2002, 29(2):257-271.
- 11. Firmin F. Ear reconstruction in cases of typical microtia. Personal experience based on 352 microtic ear corrections. Scand J Plast Reconstr Hand Surg, 1998, 32(1):35-47.
