Patients with ear deformity correction and ear reconstruction are very concerned about the postoperative results. Today, we will talk about two important factors that affect the postoperative effect: the amount of residual ear tissue and the extension and contraction of the skin.

I The more residual tissue of ear malformation, the better effect of ear reconstruction

In general, the more tissue left in microtia, the better the effect of ear reconstruction, the less tissue, the greater the difficulty of ear reconstruction, the more difficult the effect is to control, and the worse the condition of anophthalmia, the greater the difficulty.

There are two reasons:

1. Earlobe residue is very important

It is difficult to make realistic earlobes with the existing technology. Earlobe is a very soft structure, hard cartilage can not shape the earlobe on the residual ear. If the earlobe of patients with microtia is normal, it can be used to make earlobes similar to healthy ears. Without earlobe, it is difficult to reconstruct and the effect is not good.

2. The skin of the residual ear is a good material for reshaping the concha cavity

Because the thickness of the residual ear skin is similar to that of the normal ear, the recess in the center of the ear bracket can produce a realistic ear nail cavity. However, if the amount of skin is too small, even if the recess in the center of the ear bracket is very deep, the skin may be suspended on the bracket, and it is difficult to form a deep ear socket.

It is not recommended to completely knock down the residual ear tissue and reconstruct the substructure of the new ear, because the effect is not good and the cost is higher.

Correction effect diagram of some residual tissues with microtia

II Whether directly buried, half wrapped or fully wrapped, it depends on the elasticity and retraction of the skin

Direct burial method: the concave convex contour in front of the ear mainly depends on the elasticity and extensibility of the skin in the residual ear area.

Expansion technology (half package method and full package method): part of the "extra" skin formed during expansion is obtained through natural growth, while the other part is obtained depending on the extensibility of the skin.

Effect Picture of Complete Encapsulation Ear Reconstruction for Small Ear Deformities

Elastic skin may shrink, which varies from person to person. People who are not easy to shrink are better, and the overall contour of the ear that is easy to shrink may not be very clear.

The effect of ear reconstruction surgery depends on the doctor's technology on the one hand, and also depends on the patient's good technical foundation=good effect on the other hand.