What Is Reconstructive Ear Surgery?

Ear reconstruction surgery

Ear reconstruction surgery

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Ear reconstruction surgery

Whole ear reconstruction method; whole ear reconstruction method

Stomatology / Total Ear and Nasal Defect Reconstruction / Total Ear Defect Reconstruction

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Ear reconstruction surgery is suitable for:

1. Congenital microtia or no ear

1. There is a scar on the skin of the ear area.

Children under 2.7 years.

3. Superficial temporal arteries and veins, posterior auricular arteries and veins have been damaged, or the external carotid artery on that side has been ligated.

4. The temporal fascia is injured or absent on that side.

1. Routine skin preparation around the ears and ribs.

2. Prepare transparencies according to the shape of healthy ears.

3. If the external ear canal is closed, hearing needs to be restored. Preoperative X-ray examination and electrical audiometry should be performed to determine whether tympanoplasty can be performed.

4. Have a leather knife ready.

5. For tympanoplasty, a surgical microscope is required.

Adult patients use local anesthesia and pediatric general anesthesia. The supine position is supine, with the head inclined to the healthy side.

1. Do not injure behind the ears and superficial temporal arteries and veins, so as to avoid blood supply disturbances caused by the overthin skin flap that is turned up.

2. Be careful of the ultra-thin skin flap behind the ear, so as not to damage the flap.

3. The smooth surface of the perichondrium must be flat and tight during tympanoplasty

After ear reconstruction surgery, do the following:

Hearing should be checked immediately after tamping is removed 10 days after surgery.

1. After the cartilage scaffold is embedded, the local pressure should be kept constant, and the bandage should be loosened, and it should be corrected in time. It should be kept dry.

2. Appropriate application of antibiotics throughout the body to prevent infection.

3. The suture was removed 10 days after the second stage. First, the pressured gauze was wrapped with physiological saline and then the pressured gauze was removed layer by layer to remove the suture.

4. 15 days after the second stage, if the skin is growing well, you can wear the prefabricated ear plate.

1. The infection is mainly caused by poor aseptic operation during the operation.

2. The main reason for the exposed cartilage stent edge is that the incision is close to the cartilage.

3. Skin necrosis on the surface of cartilage is mostly caused by poor local blood supply due to excessive pressure on dressing.

4. Poorly reconstructed ears are mainly caused by the wrong design of the cartilage when implanted for the first time, or fail to be in place as designed.