Secondary Auricular Reconstruction #3

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Representative Auricular Reconstruction Cases
- Secondary Auricular Reconstruction

Secondary auricular reconstruction is sought by patients who had auricular reconstruction previously at a different institution that resulted in unfavorable outcomes. Such cases have been rapidly increasing in the last 10 years. It is necessary to remove the cartilage framework from the primary auricular reconstruction, fabricate a new 3-D frame and graft it to its proper anatomical location. This surgery can be more meticulous and complicated at times compared to other reconstruction surgeries due to possible severance of the superficial temporal artery (STA) from the primary auricular reconstruction. However, by using Nagata method for secondary auricular reconstruction with careful surgery planning in advance, favorable and satisfactory results can be attained.

Case 1: Secondary auricular reconstruction for the auricle unfavorably reconstructed with Tanzer method at a different institution

Preoperative Appecfance

Preoperative appearance

Preoperative Appecfance

Preoperative appearance

Post-operative appearance with Nagata method

Operation with Nagata method, 1st stage post-operative appearance

Post-operative appearance with Nagata method

Operation with Nagata method, 1st stage post-operative appearance

Post-operative appearance with Nagata method

Post-operative appearance with Nagata method

Post-operative appearance with Nagata method

Post-operative appearance with Nagata method

Photos in this blog are shown for your reference for understanding the treatment of microtia. Please understand that surgery results vary depending on each case.

Possible complications following microtia reconstruction surgery

Transient facial palsy, Failure of skin graft due to vascular compromise, Infection resulting in exposure of the 3-D frame, Pneumothorax, Postoperative pneumonia, Suture failure, Alopecia, Decubitus and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

Case 2: Secondary auricular reconstruction for the auricle unfavorably reconstructed with Tanzer method with a big earhole opened at a different institution

Preoperative Appecfance

Preoperative appearance

Preoperative Appecfance

Preoperative appearance

Preoperative Appecfance

Operation with Nagata method, 1st stage post-operative appearance

Preoperative Appecfance

Operation with Nagata method, 1st stage post-operative appearance

Preoperative Appecfance

Post-operative appearance with Nagata method

Preoperative Appecfance

Post-operative appearance with Nagata method

Photos in this blog are shown for your reference for understanding the treatment of microtia. Please understand that surgery results vary depending on each case.

Possible complications following microtia reconstruction surgery

Transient facial palsy, Failure of skin graft due to vascular compromise, Infection resulting in exposure of the 3-D frame, Pneumothorax, Postoperative pneumonia, Suture failure, Alopecia, Decubitus and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

Information on Microtia Surgeries

For your reference, click here for “Adjustment of ear projection angle for the secondary reconstructed auricle for microtia” conducted on Jan. 16, 2015.

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■Blog Updates

◆December.17, 2023 updated:
Postoperative report on the patient operated on October 17, 2023
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◆December.10, 2023 updated:
1st-stage operation for small concha type microtia　7/October/2023
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◆December. 3, 2023 updated:
Secondary reconstruction for microtia　27/October/2023
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◆October. 23, 2023 updated:
2nd-stage operation for microtia　17/October/2023
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◆October. 13, 2023 updated:
Secondary reconstruction for microtia　3/October/2023
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◆October. 2, 2023 updated:
Postoperative report on the patient operated on August 1, 2023
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◆September. 27, 2023 updated:
Postoperative report on the patient operated on October 4, 2022
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◆September. 22, 2023 updated:
2nd-stage operation for microtia　19/September/2023
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◆September. 15, 2023 updated:
Postoperative report on the patient operated on July 26, 2022
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◆September. 5, 2023 updated:
Secondary reconstruction for microtia　5/September/2023
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◆August. 26, 2023 updated:
Postoperative report on the patient operated on July 12, 2022
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◆August. 9, 2023 updated:
1st-stage operation for microtia
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◆August. 4, 2023 updated:
1st-stage operation for microtia
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◆July. 31, 2023 updated:
Postoperative report on the patient operated on January 31, 2023
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◆July. 28, 2023 updated:
Postoperative report on the patient operated on June 1, 2023
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◆July. 23, 2023 updated:
1st-stage operation for lobule type microtia complicated with 1st-2nd branchial arch syndrome
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◆July. 14, 2023 updated:
Postoperative report on the patient operated on January 17, 2023
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◆July. 6, 2023 updated:
Secondary reconstruction for microtia　4/July/2023
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◆June. 29, 2023 updated:
Postoperative report on the patient operated on June 6, 2023
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◆June. 23, 2023 updated:
1st-stage operation for microtia
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◆June. 10, 2023 updated:
Postoperative report on the patient operated on October 4, 2022
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◆June. 8, 2023 updated:
Secondary reconstruction for microtia　6/June/2023
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◆June. 5, 2023 updated:
Postoperative report on the patient operated on May 9, 2023
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◆June. 2, 2023 updated:
2nd-stage operation for microtia　1/June/2023
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◆May. 31, 2023 updated:
Secondary reconstruction for microtia　30/May/2023
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◆May. 25, 2023 updated:
Postoperative report on the patient operated on December 20, 2022
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◆May. 16, 2023 updated:
1st-stage operation for microtia
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◆May. 9, 2023 updated:
1st-stage operation for microtia
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◆May. 4, 2023 updated:
Postoperative report on the patient operated on January 17, 2023
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◆April. 26, 2023 updated:
Postoperative report on the patient operated on February 21, 2023
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◆April. 19, 2023 updated:
Postoperative report on the patient operated on September 20, 2022
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◆April. 14, 2023 updated:
Postoperative report on the patient operated on February 21, 2023
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◆March. 8, 2023 updated:
Postoperative report on the patient operated on March 7, 2023
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◆February. 22, 2023 updated:
Secondary reconstruction for microtia
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◆February. 15, 2023 updated:
Secondary reconstruction for microtia
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◆February. 11, 2023 updated:
Postoperative report on the patient operated on December 20, 2022
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◆February. 10, 2023 updated:
Secondary reconstruction for microtia
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◆February. 1, 2023 updated:
1st-stage operation for microtia
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◆January. 25, 2023 updated:
Secondary reconstruction for microtia
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◆January. 19, 2023 updated:
Postoperative report on the patient operated on August 2, 2022
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◆January. 16, 2023 updated:
Postoperative report on the patient operated on December 20, 2022
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◆December. 21, 2022 updated:
1st-stage operation for microtia
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◆December. 15, 2022 updated:
Postoperative report on the patient operated on June 28, 2022
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◆December. 6, 2022 updated:
1st-stage operation for microtia
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◆September. 20, 2022 updated:
Postoperative report on the patient operated on September 20, 2022
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◆November. 16, 2022 updated:
1st-stage operation for microtia　
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◆November. 15, 2022 updated:
Postoperative report on the patient operated on September 6, 2022　
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◆October. 5, 2022 updated:
Secondary reconstruction for microtia　
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◆September. 22, 2022 updated:
1st-stage operation for microtia　
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◆September. 18, 2022 updated:
Postoperative report on the patient operated on August 2, 2022 [After 1 month]
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◆September. 14, 2022 updated:
Secondary reconstruction for microtia
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◆September. 7, 2022 updated:
1st-stage operation for microtia
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◆August. 24, 2022 updated:
Postoperative report on the patient operated on August 2, 2022
-------------------------- ◆August. 23, 2022 updated:
Postoperative report on the patient operated on June 14, 2022
-------------------------- ◆August. 22, 2022 updated:
Postoperative report on the patient operated on June 28, 2022
-------------------------- ◆August. 14, 2022 updated:
Postoperative report on the patient operated on July 26, 2022
-------------------------- ◆August. 10, 2022 updated:
Secondary reconstruction for microtia　9/August/2022
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◆August. 3, 2022 updated:
1st-stage operation for microtia
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◆August. 1, 2022 updated:
Postoperative report on the patient operated on May 24, 2022
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◆July. 27, 2022 updated:
2nd-stage operation for microtia
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◆July. 13, 2022 updated:
Secondary reconstruction for microtia
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◆June. 29, 2022 updated:
2nd-stage operation for microtia
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◆June. 17, 2022 updated:
2nd-stage operation for microtia
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Auricular Reconstruction,Nagata Method