Anatomy:
1.
Discuss the embryology of the external ear.
2.
Bring in a diagram/picture of the external ear. Identify all the important anatomical landmarks.
3.
What is the normal position of the ear?
4.
What is the normal position of the ear?
Congenital:
5.
What is lop ear, cup ear, Stahl’s ear and cryptotic ear?
6.
What is the appropriate age for correction of prominent ears in children? Describe the Mustarde and Stenstrom techniques.
Reference(s):
Lindsay, R. W., George, R., Herberg, M. E., Jackson, P., & Brietzke, S. (2016). Reliability of a Standardized Nasal Anatomic Worksheet and Correlation With Subjective Nasal Airway Obstruction. JAMA Facial Plastic Surgery, 18(6), 449–454.
7.
Johnny’s mom is not happy with his post op otoplasty results.
Reference(s):
Handler, E. B., Song, T., & Shih, C. (2013). Complications of otoplasty. Facial Plastic Surgery Clinics of North America, 21(4), 653–662.
8.
What is the sequence of repair of anotia? When is middle ear surgery performed? Review Bert Brent’s article.
Reference(s):
Brent, B. (1999). Technical advances in ear reconstruction with autogenous rib cartilage grafts: personal experience with 1200 cases. Plastic and Reconstructive Surgery, 104(2), 318–319.
Trauma:
9.
You are called to the ER. An ear is severed at the antihelical level. What are your options?
10.
Your junior resident calls you at 1AM from the trauma bay. He has a patient with a complete avulsion of the auricle from a knife fight. Give us 5 ways to manage this problem.
Reference(s):
Pennington, D.G., Lai, M.F., Pelly, A.D. (1980). Successful replantation of a completely avulsed ear by microvascular anastomosis. Plast Reconstr Surg, 65(6), 820-3.
Jung, S.W., Lee, J., Oh, S.J., Koh, S.H., et al. (2013). A review of microvascular ear replantation. J Reconstr Microsurg, 29(3), 181-8.
11.
Discuss the pros and cons of re-attaching the avulsed ear using microvascular anastomosis.
12.
Total ear reconstruction: osseointegrated implant vs. autogenous reconstruction.
Reference(s):
Korus, L.J., Wong, J.N., Wilkes, G.H. (2011). Long-term follow-up of osseointegrated auricular reconstruction. Plast Reconstr Surg, 127(2), 630-6.
Louis, P.J., Aponte-Wesson, R.A., Fernandes, R.P., Clemow, J. (2013). Autogenous and prosthetic reconstruction of the ear. Oral Maxillofac Surg Clin North Am, 25(2), 271-86.
13.
Upper 1/3 defects. Describe the Antia-Buch repair.
14.
Middle 1/3 defects. Describe Converse Tunnel procedure. Any other reconstructive options?
15.
I love the “flip flop flap” — educate us.
Reference(s):
Schonauer, F., Vuppalapati, G., Marlino, S., Santorelli, A., Canta, L., & Molea, G. (2010). Versatility of the posterior auricular flap in partial ear reconstruction. Plastic and Reconstructive Surgery, 126(4), 1213–1221.
16.
Manny Pacquiao presents to the ER with an auricular hematoma. How would you manage this and how would you counsel him on long-term complications?
Reference(s):
Greywoode, J. D., Pribitkin, E. A., & Krein, H. (2010). Management of auricular hematoma and the cauliflower ear. Facial Plastic Surgery : FPS, 26(6), 451–455.
17.
How would you correct a split ear lobe? Any tips on avoiding notching? Any chance insurance will cover this?
18.
How do you treat a hematoma of the ear? What are the long-term complications?
