AUTOLOGOUS EAR RECONSTRUCTION
HOW TO MAKE AN EAR WITH
HUMAN’S OWN TISSUES ?
Auricular reconstruction with patient's own tissues, the most preferred method in the world, is completed with two surgeries that are performed under general anesthesia and having at least six months between the procedures. In this section you will find information about the surgeries.
PREOPERATIVE ANATOMICAL MODELING
In cases of unilateral microtia, special efforts are made to capture the maximum anatomical similarity of both ears. To achieve this goal, we use a 3-dimensional model of the patient's normal ear created preoperatively. In patients with bilateral microtia, we perform modeling preferably from the ears of one of the parents or another child of the same age with an anatomically appropriate ear structure.
1th STAGE
After a small incision is made in the area where the new ear should be and after the amorphous cartilage structures under the skin are removed, a pocket for the new auricle is created under the skin. Then, entering through the chest on the same side through an incision of 4-5 cm, the cartilaginous sections of the 6th, 7th and 8th ribs are removed. The ear infrastructure prepared by sculpting these cartilages is placed in this subcutaneous pocket. In this surgery, the ear is completely shaped, and the process of forming an earlobe is also carried out at this stage. This surgery takes about 6 hours, and our patients can be discharged on the third day after the surgery.
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Reconstruction of the Auricle With Patient's Own Tissues Is a Magnificent Surgery Where Art and Medicine Are Combined.
HARVESTING OF RIB CARTILAGES
Dr. Mutaf remove the rib cartilages from the chest by a method developed by him, without damaging the muscle integrity and preserving the "perichondrium" layer, which has the potential that will allow the rib cartilage to regenerate. Thanks to this method, the integrity of the rib cage is restored after the repair, and only a linear scar will remain.
THE RIBS ARE HARVESTED
from THE CHEST ON THE SAME SIDE AS THE MICROTIA
SCULPTURING THE EAR FRAME FROM RIB CARTILAGES
View of the New Ear at the End of the 1th stage
PLACING THE 3-DIMENSIONAL CARTRIDGE ROOF UNDER THE SKIN
This procedure is performed by hand sculpting technique to resemble the normal ear of the patient with the meticulousness of a sculptor
2th STAGE
In this operation, which will be performed at least 6 months after the first one, the new ear, which is fully formed but still adjacent to the head, is raised in such a way as to provide the necessary protrusion and a natural sulcus is formed behind the ear. In this way, it is ensured that both ears are symmetrical. If necessary, an additional procedure to correct facial asymmetry can also be performed during this surgery.
This operation lasts about 3-4 hours, the hospital stay is again 2-3 days, and the recovery period is again 2 weeks.
THE MOST IMPORTANT THING TO AVOID AFTER THESE PROCEDURES IS THAT THE PATIENT SHOULD NOT SLEEP LYING ON THE SIDE WHERE THE OPERATED EAR IS.
