Τίτλος:
Congenital aural atresia reconstruction: A surgical procedure with a
long history
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: Pinna deformities, combined with congenital aural atresia,
have been a matter of serious debate in the literature as they are
associated with major aesthetic and functional problems that are
difficult to manage. These problems have been described as early as 2000
BC. The aim of the present article is to approach the whole problem as
one (pinna malformation and aural atresia) and present the history as
well as the current approaches in reconstruction.
Methods: Extensive literature search and medical history books were used
as scientific sources.
Results: For many centuries, the prevalent view was that any surgical
attempts to reconstruct the pinna and the ear canal were of little
value. In addition, the aesthetic result of these early surgical
procedures was mostly unacceptable. Over time, new surgical techniques
and synthetic materials were used, leading to satisfactory and lasting
aesthetic and functional results in selected patients, improving their
quality of life, while reducing the complication rate. However, many
cases are still challenging for plastic surgeons and ENT surgeons alike.
Conclusions: Despite significant progress in the field, surgery for
pinna deformities combined with congenital aural atresia still remains
one of the most challenging and risky procedures. Accurate audiological
evaluation of newborns as well as assessment of their craniofacial
development is necessary and can help the plastic surgeons and
otologists choose proper candidates for surgical repair and a suitable
and age-appropriate therapeutic plan. History and repeated failures have
taught us that close multidisciplinary approach is of paramount
importance. (C) 2009 British Association of Plastic, Reconstructive and
Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Συγγραφείς:
Manolopoulos, Leonidas
Papacharalampous, George X.
Yiotakis,
Ioannis
Protopappas, Dimosthenis
Vlastarakos, Petros V. and
Nikolopoulos, Thomas P.
Περιοδικό:
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
Εκδότης:
Elsevier Sci Ltd, Exeter, United Kingdom
Λέξεις-κλειδιά:
Congenital; Aural atresia; Reconstruction
DOI:
10.1016/j.bjps.2009.01.087
