Surgery of the auricle: tumors, trauma, defects, by Hilko Weerda

By Hilko Weerda

Winner of the 1st Prize in ENT on the 2008 BMA
(British clinical organization) scientific e-book Competition

This ebook is a finished advisor to the
delicate and complicated reconstructive techniques for the exterior ear. that includes
concise descriptions, step by step directions, and various beforeand after
photos, this publication presents surgeons with the fundamental wisdom that winning
surgery during this tough box demands.

The textual content opens with an summary of the
anatomy and anthropometry of the exterior ear, aesthetic ideas of auricular
reconstruction, and the fundamental rules of cosmetic surgery. Separate sections
of the publication offer in-depth dialogue of the innovations for dealing with tumors,
trauma and non-inflammatory tactics, auricular defects, and abnormalities.


  • More than 1,300 illustrations and images that reduction
    comprehension of auricular difficulties and surgical steps
  • Detailed dialogue of category of auricular
    defects and abnormalities
  • Coverage of the radiologic exam of malformations
    of the petrous temporal bone

An incomparable reference for all surgeons
specializing in treating defects and problems of the exterior ear, this quantity
succeeds fantastically in taking pictures the myriad inventive, clinical, and technical features of auricular reconstruction.

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Extra resources for Surgery of the auricle: tumors, trauma, defects, abnormalities

Sample text

19 a). A subcutaneous postauricular pocket is then developed, the amputated ear is inserted in its correct anatomical position, its cartilage is attached to the stump cartilage, and the skin of the pocket is sutured to the anterior skin of the stump (Fig. 19 b−d). A light pressure dressing is applied for 10−14 days and prophylactic antibiotics given. Distant Banking All techniques of distant cartilage banking have usually resulted in the cartilage framework, void of skin, becoming distorted and eventually unsuitable for auricular reconstruction (Fig.

A painful erythema is apparent and sometimes swelling of the affected area is seen (Weerda 1994 g, 1996 a). Therapy Immediate cooling with water or ice should be commenced, although ice should not be applied directly to the skin. Steroid ointments reduce the chances of later damage. Analgesic therapy is also initiated. Course Complete recovery is usually observed within a few days, as the symptoms subside. As with operations on the ear, we use special fenestrated dressing gauze (see p. 223) or sponge dressings which leave the ear free (see Fig.

We do not recommend the surgical approach from the posterior surface of the ear to remove anterior otoseroma and otohematoma (Herrmann 1968) because the otherwise Fig. 2 Location of otohematomas. a Large otohematoma after unsuccessful aspiration and incision. b Rare otoseroma of the posterior auricular surface. a b Auricular Injuries a b c d 27 e 1 2 Fig. 3 Approaches for surgical treatment of otohematoma (after Giffin 1985). a Conchahematoma. b Incision in the scapha (1), beneath the antihelix for conchahematoma (2).

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