EAR RECONSTRUCTION SECONDARY TO ACQUIRED DEFECTS: A PROSPECTIVE STUDY
Main Article Content
Keywords
Auricular reconstruction; Acquired ear defects; Pinna trauma; Flap surgery; Cartilage graft
Abstract
Background: Auricular reconstruction following acquired defects remains challenging due to the complex three-dimensional anatomy of the ear. This study evaluated reconstructive techniques and outcomes in acquired auricular defects.
Methods: A prospective cohort study of 40 patients with acquired ear defects (May 2022–May 2024) was undertaken at Patna Medical College and Hospital. Patients underwent individualized reconstructive procedures. Outcomes were assessed for complications, stages, and satisfaction.
Results: Mean age was 30.65 years; 65% were male. Etiologies included assault (25%), RTA (25%), burns (22.5%), and human bites (20%). Most common affected parts were middle-third helix (20%) and lobule (17.5%). Most frequent procedures were wound debridement with primary suturing (27.5%) and preauricular bilobed flap (15%). Single-stage reconstruction was feasible in 67.5% of cases. Complications were low (15%), mainly infection (10%). Patient satisfaction was high (60% rated outcomes excellent/good).
Conclusion: Individualized, defect-oriented reconstruction yields satisfactory functional and cosmetic outcomes. Single-stage procedures are often preferred by patients, though staged reconstructions provide superior results for large defects.
References
2. Dieffenbach JF. Die Operative Chirurgie. Leipzig: F.A. Brockhaus; 1845.
3. Raja K, Lingappan R. Reconstruction of auricular defects in a tertiary care center: Int J Sci Res. 2018;7(2):45-48.
4. Senthilkumar R, et al. Management of acquired ear defects and its outcome. Ann Int Med Dent Res. 2017;3(4):SG49-SG52.
5. Ottat MR. Partial reconstruction of the external ear after trauma. Braz J Otorhinolaryngol. 2010;76:7-13.
6. Harris PA, et al. Reconstruction of acquired sub-total ear defects with autologous costal cartilage. Br J Plast Surg. 1999;52:268-75.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Astha Yadav
Resident, Department of Plastic and Reconstructive Surgery, PMCH, Patna, Bihar, India
Dr. V.P. Chaudhary
Professor, Department of Plastic and Reconstructive Surgery, PMCH, Patna, Bihar, India
Dr. Radha Raman
Assistant professor, Department of Plastic and Reconstructive Surgery, PMCH, Patna, Bihar, India