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RECONSTRUCTIVE OTOPLASTY: Further Observations; Utilization of Tantalum Wire Mesh Support

RECONSTRUCTIVE OTOPLASTY: Further Observations; Utilization of Tantalum Wire Mesh Support 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

RECONSTRUCTIVE OTOPLASTY: Further Observations; Utilization of Tantalum Wire Mesh Support

Archives of Surgery , Volume 53 (1) – Jul 1, 1946

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Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1946.01230060026003
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1946

References