| Popis: |
Introduction: In the reconstruction of the ear with autogenous costal cartilage, to achieve an optimal and aesthetic result it is important, the position and projection of the ear. This work exposes how to raise and project the ear, with favorable result and minimal morbidity. Objective: To describe the results of using the cartilage wedge with skin autograft to elevate and project the reconstructed ear with autologous costal cartilage. Methods: Quantitative study with descriptive cross-sectional design of 42 patients, who underwent atrial reconstruction with autologous costal cartilage and of these, 22 patients proceeded to the takeoff, elevation and projection of the cartilaginous structure, placing a fragment of cartilage and skin autograft behind the pavilion. The procedure is described and the results are evaluated. Result: In 33 cases (78.57 %) congenital etiology and in 9 traumatic (21.42 %). In cases with microtia, its incidence was higher on the right side and the female sex predominated. The results obtained were excellent in 3 patients (7.14%), good in 28 (66.66%), regular in 9 (21.42%) and bad in 2 (4.76%). In the patients who were raised and projected the pavilion, the results evaluated were from excellent to good. Conclusions: Separate and raise the ear from the head by placing a cartilage fragment covered with skin autograft, allows to recreate the retroauricular groove, the ear becomes more apparent and with better definition, with aesthetic improvement. |
