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. 2022 Dec;74(Suppl 3):4507-4509.
doi: 10.1007/s12070-021-02398-y. Epub 2021 Feb 8.

Auricular Cartilage Graft, An Alternative for Bony Palatal Defect? A Case Report

Virendra Singh  1 , V Ashwin  1 , P Anbumani  2
Affiliations

Auricular Cartilage Graft, An Alternative for Bony Palatal Defect? A Case Report

Virendra Singh et al. Indian J Otolaryngol Head Neck Surg. 2022 Dec.

Abstract

A 51 year old male patient reported with a chief complaint of nasal regurgitation of fluids since a period of 1 year. Patient was operated once earlier with soft tissue palatal closure following which there was recurrence of symptoms. In this case, the defect was managed with an auricular cartilage graft followed by palatal mucosal closure. The healing was uneventful till the latest follow-up. Rationale of this case report lies in its approach to manage an oronasal communication which recurred following a soft tissue closure. Various management strategies have been applied in literature which included grafts, alloplastic materials and vascular free tissue transfer. Following informed and written consent, Patient was operated under General Anaesthesia and was observed for a follow-up period of 2 years. There was uneventful healing along with improvement in patient's phonation and diet. Complete resolution of nasal regurgitation was achieved. The auricular cartilage graft used for reconstruction in this case is comparatively less invasive and provides an additional advantage of a double layered closure.

Keywords: Auricular cartilage graft- reconstruction; Nasal regurgitation; Oronasal fistula; Trauma.

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Conflict of interest statement

Conflict of interestThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

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Recurrence of oronasal defect
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Coronal CT
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Exposure of auricular cartilage
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Harvested cartilage graft
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Placement of graft
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Follow-up photograph
See this image and copyright information in PMC

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