MD. Bizhga Gjergji ENT Clinic, General Trauma University Hospital,Tirana, Albania. MD. Hoxhallari Xhevahir ENT Clinic,University Hospital ‘Mother Tereza’ Tirane.

1. Septal cartilage for repairing
partial defect of auricule.
MD. Bizhga Gjergji
ENT Clinic, General Trauma University Hospital,Tirana, Albania.
MD. Hoxhallari Xhevahir
ENT Clinic,University Hospital ‘Mother Tereza’ Tirane.

2. Case report
The pacienti has a old amputated portion of auricle it was located
at 13 upper left auricule and consist of helix region. Size defect
was 3.5cm in length and 1.5 cm depth.
We took septal cartilage and its base, sized more than defect itself
from patient. Skin incision was made at a free skin margine of
amputation. Cartilago graft was connected with auricular cartilage
and at the height of amputation and a skin incision is made over
the mastoid and was created a pocket for the graft and margine
was connected with the margins of te auricular skin. The skin is
closed primarily and the wound drained. Mattress sutures have
been left for 14 days. Three months after a second operation was
made. Auricule was been lifted away from the mastoid and was
made primary closure of auricular and retroauricular the skin
defect.
Conclusion : Septal cartilage could be adapted in according to
amputated portion of auricule.

3. Visible parcial old amputation of
the right aurikule.

4. Septal cartilage graft.

5. Cartlage graft was connected with auricular
cartilage. A skin incision was made at the
retroauricular area and was created a pocket
for the graft.

6. The free skin margins of the amputation
auricule are sutured to the retroauricular
area and are left in place for 14 days.

7. A foto three months after operation and
before second operation.

8. Appearance after elevation of the auricule ,
primary closure auricular and retroauricular
the skin defect.