Abstract THE reproduction of an auricular cartilage still remains the greatest problem in the construction of a new ear. In an earlier paper,1 personal experience with Gillies' method, utilizing a maternal ear cartilage as the architectural support around which to build a new ear, was described in detail. Subsequently, a total of fifteen ears were constructed by this procedure. At first, it appeared that this contribution, as described first by Gillies,2 was a great step in the successful construction of this persistently difficult plastic operation. However, as time progressed, it became apparent that these transplanted auricular cartilages were not going to remain in their original conditions permanently. In each case, the individual cartilage underwent aseptic necrosis and was replaced by fibrous tissue. By and large, this transition developed in one and one-half to two years in small children and in six months to one year in patients of adolescent References 1. Greeley, P. W.: Reconstructive Otoplasty , Surgery 10:457-462 ( (Sept.) ) 1941. 2. Gillies, H. D.: Reconstruction of the External Ear , Rev. de chir. structive , (October) 1937, pp. 169-179. 3. Gillies, H. D.: Personal communication to the author. 4. Greeley, P. W.: Reconstruction of the External Ear: Conservation of the Avulsed Portion , U. S. Nav. M. Bull. 42:1323-1325 ( (June) ) 1944. 5. Lamont, E. S.: Reconstructive Plastic Surgery of Absent Ear with Necrocartilage: Original Method , Arch. Surg. 48:53-72 ( (Jan.) ) 1944.Crossref 6. Peer, L.: Reconstruction of the External Ear with Diced Cartilage Grafts , Tr. Am. Soc. Plastic & Reconstruct. Surg. , 1943, p. 11-16. 7. Pierce, G. W.: Reconstruction of the External Ear , Surg., Gynec. & Obst. 50:601-605 ( (March) ) 1930.
Archives of Surgery – American Medical Association
Published: Jul 1, 1946