Septal cartilage for repairing partial defect of auricule.

Septal cartilage for repairing partial defect of auricule.

MD. Bizhga Gjergji ENT Clinic, General Trauma University Hospital,Tirana, Albania.

MD. Hoxhallari XhevahirENT Clinic,University Hospital ‘Mother Tereza’ Tirane.

Case reportThe pacienti has a old amputated portion of auricle it was located at 1\3 upper left auricule and consist of helix region. Size defect was 3.5cm in length and 1.5 cm depth.We took septal cartilage and its base, sized more than defect itself from patient. Skin incision was made at a free skin margine of amputation. Cartilago graft was connected with auricular cartilage and at the height of amputation and a skin incision is made over the mastoid and was created a pocket for the graft and margine was connected with the margins of te auricular skin. The skin is closed primarily and the wound drained. Mattress sutures have been left for 14 days. Three months after a second operation was made. Auricule was been lifted away from the mastoid and was made primary closure of auricular and retroauricular the skin defect. Conclusion : Septal cartilage could be adapted in according to amputated portion of auricule.

Visible parcial old amputation of the right aurikule.

Septal cartilage graft.

Cartlage graft was connected with auricular cartilage. A skin incision was made at the

retroauricular area and was created a pocket for the graft.

The free skin margins of the amputation auricule are sutured to the retroauricular

area and are left in place for 14 days.

A foto three months after operation and before second operation.

Appearance after elevation of the auricule , primary closure auricular and retroauricular the skin defect.