Auricular Reconstruction

7.1.1 Discuss the embryology of the external ear.

7.1.2 Bring in a diagram/picture of the external ear. Identify all the anatomical landmarks. 

http://portal.entnet.org/images/COCLIA/2011-2012%20updates/COCLIA%20Media/Auricular%20Reconstruction/Auricular%20Reconstruction-Q2-080304_008.jpg

7.1.3 Discuss the vascular, lymphatic and nerve supply to the ear.

7.1.4 What is the normal position of the ear?

7.1.5 What is lop ear, cup ear, Stahl’s ear and cryptotic ear?

7.1.6 Otoplasty. Describe the Mustarde and Stenstrom techniques.

7.1.7 You are called to the ER. An ear is severed at the antihelical level. What are your options?

7.1.8 Your junior resident calls you at 1AM from the ER. He has a patient with a complete avulsion of the auricle from a knife fight. Give us 5 ways to manage this problem.

7.1.9 Discuss the pros and cons of re-attaching the avulsed ear using microvascular anastomosis.

7.1.10 Upper 1/3 defects. Describe the Antia-Buch repair.

7.1.11 What is the sequence of repair of anotia? When is middle ear surgery performed? Review Bert Brent’s article.

Brent B. Technical advances in ear reconstruction with autogenous rib cartilage grafts: personal experience with 1200 cases. Plast Reconstr Surg. 1999 Aug;104(2):319-34; discussion 335-8. PMID:10654675

7.1.12 Middle 1/3 defects. Describe the tunnel procedure proposed by Converse in 1958. Any other reconstructive options?

7.1.13 How do you treat a hematoma of the ear? What are the long-term complications? 

http://portal.entnet.org/images/COCLIA/2011-2012%20updates/COCLIA%20Media/Auricular%20Reconstruction/Auricular%20Reconstruction-Q13-080312_043.jpg

7.1.14 What is the appropriate age for correction of prominent ears in children?

Gosain AK, Kumar A, Huang G. Prominent ears in children younger than 4 years of age: what is the appropriate timing for otoplasty? Plast Reconstr Surg. 2004 Oct;114(5):1042-54. PMID:15457011

7.1.15 How would you correct a split ear lobe? Any tips on avoiding notching? Any chance insurance will cover this?

http://portal.entnet.org/images/COCLIA/2011-2012%20updates/COCLIA%20Media/Auricular%20Reconstruction/Auricular%20Reconstruction-Q15-080312_046.jpg