A large meatoplasty was performed by removing a segment of the conchal cartilage
, and an inferiorly pedicled, periosteal-pericranial flap  was used to partially obliterate the mastoid cavity in all patients who underwent CWD tympanoplasty.
In Group A patients who underwent Cartilage tympanoplasty, graft was taken from conchal cartilage
, cut into several slices that are subsequently pieced together, similar to a jigsaw puzzle to reconstruct the tympanic membrane.
Cartilage peace was prepared from the conchal cartilage
according to dimensions of the oval window.
In total losses, the defect can be closed with a tarsoconjunctival flap from the upper eyelid, a mucochondral graft from the nasal septum or a conchal cartilage
graft from the ear, and a Mustarde flap containing cutaneous-subcutaneous tissues from the cheek and preauricular region.
These grafts consist mostly of fascia of the temporal muscle, tragal perichondrium, tragal and conchal cartilage
, periosteum, vein, adipose tissue, subcutaneous tissue, fascia lata, skin of the ear canal, and heterotopic skin tissue.
Our technique reinserts the proximal based flap to the anterior surface for conchal cartilage
of the ear.
No other reports of a similar single-stage conchal cartilage
reconstruction for isolated tragus defect have been described.
In contrast, the CC transducer was held in place by a combination of its own weight and the stiffness of the conchal cartilage
. The CC transducer weighs 6 g, and the fixation force, excluding the stiffness of the conchal cartilage
, was estimated to be approximately 0.06 N.
Interpositional materials used included fascia, muscle, silastic sheet and conchal cartilage
. Costochondral and iliac crest grafts were also used in few patients for restoring the ramal height and growth.
was obtained following marking the antihelical fold through the posterior aspect of the pinna with Bonney's blue ink applied with a 16 G gauge (green) needle.
In patients with previous septal surgery where septal cartilage harvest was not attainable, a conchal cartilage
harvest was performed (12).
In thefascia group, grafts from the conchal cartilage
were removed, shredded, and then wrapped in temporal muscle fascia.