Total ear reconstrucion has been one of the most difficult problem in plastic surgeon.
It required multiple procedures, prolonged hospitalization, high cost, and the final appearance of the reconstructed ear was still far from normal.
In 1983, Song and co-workers studying the blood supply to the skin of the auricular area, presented another method of single stage total ear reconstruction.
We operated 3 anotic patients with Song`s one stage total ear reconstruction procedure and agreed that this procedure solved some problems, especially shortening of multiple procedures, in classic Tanzer`s procedure.
But, another problems were noted in Song`s procedure.
1. One stage technique will require minor secondary procedures for good final results.
2. Post auricular skin grafted area was larger than Tanzer`s procedure.
3. Definition of the cartilage framework was obtuse in early postoperative period, because the contraction of the skin graft and fixation of the skin flap were simultaneously occured.
4. This procedure may have high complication rate.
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