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Published in: European Journal of Plastic Surgery 7/2012

01-07-2012 | Ideas and Innovations

Porous polyethylene for the reconstruction of severe Cosman cleft ear deformities

Authors: Alexander Berghaus, Thomas Braun

Published in: European Journal of Plastic Surgery | Issue 7/2012

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Abstract

“Cosman ear,” “question mark ear,” or “auricular cleft between the fifth and six hillock” are synonyma for a congenital malformation between the helix and the lobule. While there is no definitive surgical method for correction of this deformity, there is agreement that only minor forms can be satisfyingly corrected with local skin flaps, whereas severe deformities need autologous cartilage or similar for reconstruction. The present publication describes a new method to correct a bilateral severe Cosman cleft ear deformity with a porous polyethylene framework and a postauricular fascia flap, leading to an appealing aesthetic result.
Literature
1.
go back to reference Weerda H (2007) Surgery of the auricle. Thieme, Stuttgart Weerda H (2007) Surgery of the auricle. Thieme, Stuttgart
2.
go back to reference Kawanabe Y, Nagata S (2006) A new method of costal cartilage harvest for total auricular reconstruction: part I. Avoidance and prevention of intraoperative and postoperative complications and problems. Plast Reconstr Surg 117:2011–2018PubMedCrossRef Kawanabe Y, Nagata S (2006) A new method of costal cartilage harvest for total auricular reconstruction: part I. Avoidance and prevention of intraoperative and postoperative complications and problems. Plast Reconstr Surg 117:2011–2018PubMedCrossRef
3.
go back to reference Reinisch JF, Lewin S (2009) Ear reconstruction using a porous polyethylene framework and temporoparietal fascia flap. Facial Plast Surg 25:181–189PubMedCrossRef Reinisch JF, Lewin S (2009) Ear reconstruction using a porous polyethylene framework and temporoparietal fascia flap. Facial Plast Surg 25:181–189PubMedCrossRef
4.
go back to reference McKinnon BJ, Wall MP, Karakla DW (1999) The vascular anatomy and angiosome of the posterior auricular artery. A cadaver study. Arch Facial Plast Surg 1:101–104PubMedCrossRef McKinnon BJ, Wall MP, Karakla DW (1999) The vascular anatomy and angiosome of the posterior auricular artery. A cadaver study. Arch Facial Plast Surg 1:101–104PubMedCrossRef
5.
go back to reference Wang Y, Zhuang X, Jiang H et al (2008) The anatomy and application of the postauricular fascia flap in auricular reconstruction for congenital microtia. J Plast Reconstr Aesthet Surg 61(Suppl 1):S70–S76PubMedCrossRef Wang Y, Zhuang X, Jiang H et al (2008) The anatomy and application of the postauricular fascia flap in auricular reconstruction for congenital microtia. J Plast Reconstr Aesthet Surg 61(Suppl 1):S70–S76PubMedCrossRef
6.
go back to reference Brent B (1992) Auricular repair with autogenous rib cartilage grafts: two decades of experience with 600 cases. Plast Reconstr Surg 90:355–374, discussion 375–356PubMedCrossRef Brent B (1992) Auricular repair with autogenous rib cartilage grafts: two decades of experience with 600 cases. Plast Reconstr Surg 90:355–374, discussion 375–356PubMedCrossRef
7.
go back to reference Vincent RW, Ryan RF, Longenecker CG (1961) Malformation of ear associated with urogenital anomalies. Plast Reconstr Surg Transplant Bull 28:214–220PubMedCrossRef Vincent RW, Ryan RF, Longenecker CG (1961) Malformation of ear associated with urogenital anomalies. Plast Reconstr Surg Transplant Bull 28:214–220PubMedCrossRef
8.
9.
10.
go back to reference Al-Qattan MM (1998) Cosman (question mark) ear: congenital auricular cleft between the fifth and sixth hillocks. Plast Reconstr Surg 102:439–441PubMedCrossRef Al-Qattan MM (1998) Cosman (question mark) ear: congenital auricular cleft between the fifth and sixth hillocks. Plast Reconstr Surg 102:439–441PubMedCrossRef
11.
12.
go back to reference Hall JD, Stevenson TR (1988) Congenital ear deformity: reconstruction using composite graft. Ann Plast Surg 21:145–148PubMedCrossRef Hall JD, Stevenson TR (1988) Congenital ear deformity: reconstruction using composite graft. Ann Plast Surg 21:145–148PubMedCrossRef
13.
go back to reference Zhang JY, Ha F (1996) Congenital auricular deformity consisting of cleft concha and transposition of the earlobe and antitragus. Plast Reconstr Surg 97:428–430PubMedCrossRef Zhang JY, Ha F (1996) Congenital auricular deformity consisting of cleft concha and transposition of the earlobe and antitragus. Plast Reconstr Surg 97:428–430PubMedCrossRef
14.
go back to reference Uuspaa V (1978) Combined bilateral external ear deformity and hypoplastic mandible. Case report. Scand J Plast Reconstr Surg 12:165–167PubMedCrossRef Uuspaa V (1978) Combined bilateral external ear deformity and hypoplastic mandible. Case report. Scand J Plast Reconstr Surg 12:165–167PubMedCrossRef
15.
go back to reference Takato T, Takeda H, Kamei M et al (1989) The question mark ear (congenital auricular cleft): a familial case. Ann Plast Surg 22:69–73PubMedCrossRef Takato T, Takeda H, Kamei M et al (1989) The question mark ear (congenital auricular cleft): a familial case. Ann Plast Surg 22:69–73PubMedCrossRef
16.
go back to reference Pan B, Jiang H, Zhao Y et al (2010) Clinical analysis, repair and aetiology of question mark ear. J Plast Reconstr Aesthet Surg 63:28–35PubMedCrossRef Pan B, Jiang H, Zhao Y et al (2010) Clinical analysis, repair and aetiology of question mark ear. J Plast Reconstr Aesthet Surg 63:28–35PubMedCrossRef
17.
go back to reference Vayvada H, Karaca C, Menderes A (2005) Question mark ear deformity and a modified surgical correction method: a case report. Aesthetic Plast Surg 29:251–254, discussion 255PubMedCrossRef Vayvada H, Karaca C, Menderes A (2005) Question mark ear deformity and a modified surgical correction method: a case report. Aesthetic Plast Surg 29:251–254, discussion 255PubMedCrossRef
18.
go back to reference Brodovsky S, Westreich M (1997) Question mark ear: a method for repair. Plast Reconstr Surg 100:1254–1257PubMedCrossRef Brodovsky S, Westreich M (1997) Question mark ear: a method for repair. Plast Reconstr Surg 100:1254–1257PubMedCrossRef
19.
go back to reference Uysal O, Kecik A, Gürsu G (1990) Congenital auricular clefts. Eur J Plast Surg 13:178–181 Uysal O, Kecik A, Gürsu G (1990) Congenital auricular clefts. Eur J Plast Surg 13:178–181
20.
go back to reference Fujiwara T, Matsuo K, Taki K et al (1995) Triangular flap repair of the congenital earlobe cleft. Ann Plast Surg 34:402–405PubMedCrossRef Fujiwara T, Matsuo K, Taki K et al (1995) Triangular flap repair of the congenital earlobe cleft. Ann Plast Surg 34:402–405PubMedCrossRef
21.
go back to reference Maral T, Tuncali D, Ozgur F et al (1996) A technique for the repair of simple congenital earlobe clefts. Ann Plast Surg 37:326–331PubMedCrossRef Maral T, Tuncali D, Ozgur F et al (1996) A technique for the repair of simple congenital earlobe clefts. Ann Plast Surg 37:326–331PubMedCrossRef
22.
go back to reference Elsahy NI (2011) The question mark ear deformity and its surgical repair. Plast Reconstr Surg 127:140e–141ePubMedCrossRef Elsahy NI (2011) The question mark ear deformity and its surgical repair. Plast Reconstr Surg 127:140e–141ePubMedCrossRef
23.
go back to reference Berghaus A (1985) Porous polyethylene in reconstructive head and neck surgery. Arch Otolaryngol 111:154–160PubMedCrossRef Berghaus A (1985) Porous polyethylene in reconstructive head and neck surgery. Arch Otolaryngol 111:154–160PubMedCrossRef
24.
go back to reference Renner G, Lane RV (2004) Auricular reconstruction: an update. Curr Opin Otolaryngol Head Neck Surg 12:277–280PubMedCrossRef Renner G, Lane RV (2004) Auricular reconstruction: an update. Curr Opin Otolaryngol Head Neck Surg 12:277–280PubMedCrossRef
25.
go back to reference Braun T, Gratza S, Becker S et al (2010) Auricular reconstruction with porous polyethylene frameworks: outcome and patient benefit in 65 children and adults. Plast Reconstr Surg 126:1201–1212PubMedCrossRef Braun T, Gratza S, Becker S et al (2010) Auricular reconstruction with porous polyethylene frameworks: outcome and patient benefit in 65 children and adults. Plast Reconstr Surg 126:1201–1212PubMedCrossRef
Metadata
Title
Porous polyethylene for the reconstruction of severe Cosman cleft ear deformities
Authors
Alexander Berghaus
Thomas Braun
Publication date
01-07-2012
Publisher
Springer-Verlag
Published in
European Journal of Plastic Surgery / Issue 7/2012
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-012-0709-z

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