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History and Current State of the Art

Alexander Berghaus, MD; Frank Toplak, MD

Arch Otolaryngol Head Neck Surg. 1986;112(4):388-397.

Abstract
• We compiled and evaluated the world literature on auricular reconstruction, for a total of over 400 publications, more than 200 authors, and over 3,300 reported cases. We found that partial reconstructions were already performed as early as 600 BC; total reconstructions were still considered impracticable in 1830. But since 1891, more than 40 different cartilaginous, osseous, and alloplastic frame materials have been described. Only eight of these were still being applied in the last decade, with autogenous costal cartilage and silicone as the leading substances. Results of the operation can be improved by special surgical manipulations, eg, the "fan-flap" technique. Taking into consideration the complication rate, the number of individual interventions, and the stability of the results, we devised a special point system that makes possible a limited assessment of the different surgical techniques.

(Arch Otolaryngol Head Neck Surg 1986;112:388-397)

Author Affiliations
From the Ear, Nose, and Throat Department, Steglitz Medical Center, Free University of Berlin.

Footnotes
Accepted for publication Dec 23, 1985.

Read before the American Academy of Facial, Plastic, and Reconstructive Surgery, Miami Beach, Fla, May 31, 1985.

Reprint requests to Hals-Nasen-Ohrenklinik und Poliklinik, Klinikum Steglitz der Freien Universität Berlin, Hindenburgdamm 30, B 1000 Berlin 45, West Germany (Dr Berghaus).

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