Print ISSN: 1683-3589

Online ISSN: 2409-501X

Keywords : AURICULAR


8-AURICULAR RECONSTRUCTION BY COSTAL CARTILAGE GRAFT IN BASRAH PROVENCE

JABIR R HAMEED

Basrah Journal of Surgery, 2009, Volume 15, Issue 2, Pages 49-55
DOI: 10.33762/bsurg.2009.55611

Auricular reconstruction represents a meticulous reconstructive and aesthetic problem to the
plastic surgeon. One of the greatest challenges in facial plastic surgery is total ear
reconstruction. The ability to reconstruct a fully satisfactory complete external ear has for
centuries been an elusive goal. The most promising field of advances with the hope of
eventually clinical utility lies in the realm of bioengineering with cultured cartilage.
To date, no perfect material has been found to substitute for the sharply elastic cartilage
normally present in ear, the matter of total auricular reconstruction remain very complex,
Prosthetic restoration is not favored by most but does remain available option for many
patients. Tissue engineers have waited to create a precise three dimensional auricular
reconstruction neocartilage.
Ten patients were operated upon for auricular reconstruction in Basrah Alsader Teaching
Hospital. The operation had 2 stages: First stage, creation and implantation of framework
cartilage graft, which harvested from the 6th ,7th & 8th ribs. The second stage, was detachment of
the constructed auricles ear lobe transposition and post auricular sulcus was defined by
separating the constructed auricle from the head covering the under surface with a thick split
thickness skin graft.
The success rate was 90% with good and satisfactory result except in one case; there was
infection with loss of the cartilage.

16-COMBINED THERAPY IN THE TREATMENT OF LARGE AURICULAR KELOID

Zuhair F Fathallah

Basrah Journal of Surgery, 2009, Volume 15, Issue 2, Pages 93-96
DOI: 10.33762/bsurg.2009.55625

Tendency to heal with an abnormal
scar7.
The external ear is most prone to
unfavorable wound responses such as
keloids8. Earlobe keloids are common
response to ear piercing, especially in
females and darker skin individuals9.
Keloids on the ears present several
therapeutic challenges. They are
common after small skin excisions and
other procedures, including drainage of
auricular hematomas, repair of other
auricular traumas or as secondary
keloid formation after prior keloid
excision. Several treatment modalities
are used for keloid such as surgery
alone or surgery combined with other
measures with varying success rates.
Today there is no agreement about
which treatment modality will
significantly solve the problem10.
This paper report a case of a large
bilateral post burn ear keloid on the
helical rim which was successfully
treated with surgery and intra-lesional
injection of 5FU and Triamcinolon.