Indian Journal of Plastic Surgery (May 2019)

(Y)ears of Freedom? Customized Splints in Microtia Reconstruction to Maintain Cephloauricular Angle

  • S. Sridevi Shanmugam,
  • Janhavi Venkataraman

DOI
https://doi.org/10.1055/s-0039-1693848
Journal volume & issue
Vol. 52, no. 02
pp. 226 – 230

Abstract

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Background Maintaining ear projection and preservation of cephaloauricular sulcus from obliteration following graft contracture is a challenge following staged microtia reconstruction. Authors have designed simple, effective, and easy-to-use splints to ensure improved aesthetic outcomes and patient compliance. Materials and Methods This is a prospective study over 3 years including 8 patients of both sexes aged 6 to 12 years. Custom-made ear splints were designed separately for females and males and used to maintain ear projection. Projection of the ear was measured postoperatively and at follow-up using goniometer and photographic records. Outcome was assessed in terms of cephaloauricular angle, conchal depth, pain, cost-effectiveness, splint retention period, and aesthetics. Results and Conclusion Maximal follow-up was 2 years. The splint effectively maintained ear projection of more than 30 degrees. Patient compliance was optimal, and no major complications were associated with its prolonged use.

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