Szymanowski advises making an ear from the skin immediately back of the auditory canal if present, making the incisions of the shape shown in [Fig. 123].
Fig. 123.—Restoration of Auricle, Szymanowski Method.
The flap included in these incisions is dissected up and doubled on itself posteriorly. The doubled flap thus formed is brought forward and placed as near into the linear position as the ear should have. The flap is then sutured through and through to make the raw surfaces heal together. The secondary wound and the treatment of the flap are carried out as already referred to under restoration of the auricle.
Several later delicate operations are done to add to the shape of the newly made organ, but at best the effect is far from even good.
In the case of Mr. B., illustrated in [Fig. 124], an attempt was made to enlarge the somewhat elastic roll of tissue corresponding to the helix by several injections of paraffin. The result proved to be anything but satisfactory; in fact, the prominence of the malformed upper ear was made more evident, and painful when subjected to pressure, so that the patient was compelled to refrain from lying on that side of the head.
Fig. 124.—Auricular Stump for Attachment of Artificial Ear.
