[Skip to Navigation]
July 1946

RECONSTRUCTIVE OTOPLASTY: Further Observations; Utilization of Tantalum Wire Mesh Support

Author Affiliations

From the Division of Plastic Surgery, United States Naval Hospital, Oakland, Calif.

Arch Surg. 1946;53(1):24-31. doi:10.1001/archsurg.1946.01230060026003

THE reproduction of an auricular cartilage still remains the greatest problem in the construction of a new ear. In an earlier paper,1 personal experience with Gillies' method, utilizing a maternal ear cartilage as the architectural support around which to build a new ear, was described in detail. Subsequently, a total of fifteen ears were constructed by this procedure. At first, it appeared that this contribution, as described first by Gillies,2 was a great step in the successful construction of this persistently difficult plastic operation. However, as time progressed, it became apparent that these transplanted auricular cartilages were not going to remain in their original conditions permanently. In each case, the individual cartilage underwent aseptic necrosis and was replaced by fibrous tissue. By and large, this transition developed in one and one-half to two years in small children and in six months to one year in patients of adolescent