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FROM PARENT CARTRIDGES
CAN I MAKE EAR?
The answer to this question, which we hear very often from the parents of our patients, is “YES”. For now, however, we have limited the use of this technique to patients who have tried but failed and have lost the chance to make a new ear from their own tissue. With the long-term results, it is possible to predict that it will be the first choice for primary, that is, children with microtia who have never had an operation before, but we need to see the results before it is used in more patients.
HOPE OF A NEW SOLUTION TO FAILED EAR MADE VICTIMS
Surprisingly, cartilages taken from parents or any other human being (homologous) are accepted as well as one's own cartilage in the transplanted body. Indeed, Prof. Dr. The auricle, which was made for his son by Mehmet Mutaf using the cartilage of a mother, still continues to exist without any problems, as it was first made, despite a long period of 8 years.
HOW IS THE PROCEDURE DONE?
In this procedure, the parent who will give cartilage is taken to the operating room first. Cartilage removal takes about 1 hour, and after the parent wakes up and goes to his room, the surgeon creates an auricle with the cartilage tissue he received from the parent, and the child is taken into surgery and this cartilage ear skeleton prepared is put under the skin and ear construction is completed.
IS THERE A RISK OF TISSUE REJECTION?
Do you give any medicine to prevent this ?
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No, we do not use any immunosuppressants after surgery because this is not an organ transplant. In fact, it is a more innocent practice than blood transfusion in terms of its risks. There are many clinical and experimental studies showing that the cartilage tissue transplanted from human to human can maintain its vitality without giving any immunosuppressive drugs. used successfully in correction. None of these patients require immunosuppressive drugs. Because, cartilage tissue, similar to the transparent layer of the eye, which we call the cornea, is a tissue that carries the least "antigenicity" in the human body, that is, it can be accepted without causing a reaction in the recipient in case of transplantation to another living thing. Before this application, as in all tissue transplants, it is sufficient to conduct screenings for infectious diseases that can be transmitted from person to person. The parent from whom the cartilage will be taken should not have a health problem that prevents the operation and should not have any infectious diseases such as jaundice, AIDS, etc. Cartilage, which is taken as an additional precaution to eliminate the risk of infection, is completely cleared of its soft tissues and treated with special antibiotic solutions before it is transferred to the patient.
WHAT ARE THE PROJECTED ADVANTAGES OF THE TECHNIQUE?
DURATION OF SURGERY AND ANESTHESIA WILL BE SIGNIFICANTLY SHORT
With the application of this technique, ear making, which normally requires a long surgery that takes 5-6 hours under anesthesia, will turn into an intervention of only 1-1.5 hours. While we are creating the new ear from the cartilages we received from the parents, the child will not get narcosis in vain.
IT WILL BE POSSIBLE TO MAKE EAR AT AN EARLIER AGE
Psychological problems due to ear deficiency begin when the child reaches the age of 4 and gains the ability to question his own physical characteristics. These problems increase gradually during the school period with the addition of the environmental factor. For this reason, ear making should be done before the age of 4, if possible, but it is often necessary to wait until the age of 5-6, sometimes even 9-10, for the ribs of children to grow enough to make ears with their own ribs. However, with this method, it will be necessary to wait until the age of 8-10 for surgery, and it will be possible from the age of 4, and the child will be treated without facing any physical deficiency and without experiencing mental trauma.
THE CHILD WILL NOT NEED TO GET RIBS!
"WITH THE EXPANDATION OF THIS METHOD, IT IS POSSIBLE TO SAY THAT A LOT OF THINGS WILL CHANGE FOR CHILDREN BORN WITHOUT EAR AND THEIR FAMILIES AROUND THE WORLD"
Aging of Cartilage and the Risk of Ossification
Although the use of the cartilage of the parents in ear production seems to be a solution that will provide very important advantages, there is a risk of undesirable side effects due to cartilage aging and possible ossification in the early period due to the fact that the individual from whom the cartilage is taken is significantly older than the child whose ear will be made. Therefore, Prof. Dr. Mehmet Mutaf's opinion is that if there is no obstacle in ear making, the patient's own tissues should be preferred first.
