Ear Reconstruction Using The Antia-Buch Principles | 68024
Otolaryngology: Open Access
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Purpose: The reconstruction of the ear following resection of part of it especially the helix, scapha and anti-helix is a confronting
problem for plastic surgery. Many techniques had been described to approach this issue and to minimize the complications
raised from resection of tumors as well. We present our experience with ear reconstruction using chondrocutaneous flaps and
a modified Antia-Buch technique in order to obtain a more realistic result with least complications.
Methodology: The study is retrospective in design with accurate description of the ear reconstruction technique that was
performed by the same surgeon on all patients. Twenty (20) patients included in this study. The collected data included
demographics, any post-operative complications and post-operative measurements of both reconstructed and normal ears.
Results: There were no post-operative complications, all tumors were completely excised. No flap loss, wound dehiscence or
haematoma has occurred. The mean residual defect was 21.8 mm ranging from 14 mm to maximum of 30 mm in size. There
were differences noticed in height, width and projection.
Conclusion: This technique allows preservation of anatomical landmarks and contour of the ear and therefore maintaining
normal overall 3D appearance of the reconstructed ear. Reconstruction of 10 mm defects are basically allowed through this
technique with no loss in size. Due to the potential lobule distortion, we recommend applying this technique to defects up to