302 A Classification System and Surgical Algorithm for Pediatric Postburn Ear Deformities

Abstract Introduction The outward projection of the external ear makes this anatomically complex appendage susceptible to trauma. Notably, up 40-60% facial burns involve ear, frequently impacting function and aesthetics. Significant postburn sensory deficits changes ear’s intricate architecture can markedly impair physical health, psychosocial functioning, quality life. Scar tissue contracture, traumatized cartilage, compromised blood supply surrounding soft tissues all influence reconstructive plan. authors describe a new classification system surgical algorithm for pediatric deformities informed by both their extensive operative experience on retrospective study different techniques more severe burn injuries ear. Methods To develop algorithm, three senior surgeons with over 85 years combined reconstructing ears carried out an iterative joint review relevant clinical cases insights, including personal approach assessing trauma developing Particular attention was focused how type extent injury affects available options. inform most cases, conducted patients aged 0 21 who underwent cartilage framework reconstruction between January 2004 2021 at specialized center. Medical records were screened 54 (61 ears) met criteria identified patient demographics, procedural characteristics, outcomes analyzed. Results For (Table 1) involving total or near-total preservation anatomical structural elements (Type I Type II deformities, respectively), scar release, local rearrangement, and/or skin grafting are typically sufficient optimal reconstruction. defects less than two-thirds helix III IV partial complete scaffold be successfully reconstructed using composite graft, conchal transposition flap, costal porous polyethylene implant. Conclusions proposed (not shown) facilitate tailored that addresses course duration, anticipated aesthetic results, complication potential, goals expectations. Applicability Research Practice provide that, along help guide planning