Surgical technique of external ear canal reconstruction

Henryk Skarżyński¹, Maciej Mrówka¹, Paulina Młotkowska-Klimek¹, Bożena Skarżyńska²

Summary
Treatment of congenital ear malformations is one of the most difficult issues in otosurgery. The best surgical solutions depend on results of the techniques which are reproducible and help achieve adequate anatomical and functional effects. Success depends on several conditions, i.e. the patient´s age, specific surgical techniques, type of material used during surgery. The authors of the paper discuss the technique of reconstructing the external auditory meatus in children with congenital defects, which is used at the International Centre of Hearing and Speech, the Institute of Physiology and Pathology of Hearing. Surgical operations performed on a considerable number of patients over a short time period allowed us to acquire essential experience and develop a method which provides permanent and reproducible results. The study material comprises assessment of 31 patients. Postoperative course was uncomplicated, adequate anatomical results were achieved in 28 patients after the first operation, and in 3 patients, after reoperation. Supported by our clinical experience, we believe that a one-year follow-up after surgery helps recognize that the resulting adequate anatomical effect is permanent.

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