Update on Total Auricular Construction | Journal CME Article-Journal CME Article: Update on Total Auricular Construction Video 5 of 5

Journal CME Article: Update on Total Auricular Construction Video 5 of 5

Video Transcription

Video Summary

The video demonstrates a surgical procedure for inserting a helical framework into a skin pocket around the pedicle, focusing on gentle insertion to avoid deformity. A precise skin dissection and properly adjusted pedicle size are crucial. A 3-0 nylon suture secures the anterior framework, while an ear positioning template confirms correct alignment. Skin trimming and anterior lobule flap stitches follow, with a 16-gauge angiocatheter aiding framework adaptation. A bolster suture uses double-armed 4-0 proline to secure xeroform while preventing ischemia. Unused cartilage is stored or banked for future use, with smaller pieces placed in a perichondrial pocket.

Keywords

surgical procedure

helical framework

skin dissection

ear positioning template

cartilage storage