Microtia: definición, clasificación y tratamiento.  Revisión de la literatura 
            Jorge Yanine (1),  Carlos Giugliano (2) 
(1)
                                Interno de Medicina, Universidad de Chile,  Santiago, Chile 
(2)
                                Cirujano  Plástico; Director Médico y Vicepresidente Ejecutivo de la  Fundación Alfredo Gantz Mann. Hospital del Niño con Fisura. Profesor asociado  Facultad de Medicina Universidad de Chile. 
Cirujano Plástico, Clínica Alemana, Santiago,  Chile 
              Resumen |Abstract | Texto completo | Descargar texto en pdf  | 
          
          
            The  ear is an important aesthetic unity in humans. There is a varying degree of  malformations, Chile has an incidence of 1 per 5600 live births. Anatomically the  pinna is  composed of three main structures: helix-antihelix complex, shell and lobe. It  is according to the anomaly present in the external anatomy how it is  classified, various systems exist for this, some of them with anatomic surgical  utility. The main focus of treatment of these anomalies is the surgical  reconstruction, taking various techniques available in the literature, such as  the use of implants, prosthetic reconstruction and reconstruction with  autologous rib cartilage graft, among others. Reinisch has pioneered the use of  implants for reconstruction, while several authors have shown satisfactory  results with the use of bone anchored prosthesis. However, the most accepted  and used technique is the reconstruction with autologous rib cartilage graft,  which was described at the beginning by Tanzer, Walton and Beahm and was later  perfected by Brent, who proposed the foundation for modern development.  Currently the most accepted and used surgical methods are described by Nagata  and Firmin, both with excellent results. 
Keywords: microtia, ear malformation, reconstruction of  microtia. |