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A New Method of Total Reconstruction of the Auricle for Microtia
Abstract
This new method for total reconstruction of the auricle is a two-stage operation in which the first stage involves fabrication and grafting of a three-dimensional costal cartilage framework and the second stage is the ear elevation operation. The three-dimensional frame was designed with emphasis on the fabrication of the helical crus, intertragic notch, and antitragus and by extending the crus helicis and fixing it to the undersurface of the base frame. The reconstructed auricle will have four different floors: the cymba and cavum conchae are the bottom (fourth) level, the crus helicis is the third level, the fossa triangularis and the scapha are the second level, and the helix, anthelix, tragus, and antitragus are the top level. The skin incision was made in a W-shaped fashion to create skin flaps with ample surface area to cover the three-dimensional frame without skin grafting. Furthermore, the semilunar costal cartilage was utilized for ear elevation. Thus this new method for total reconstruction of the auricle eliminates the major problems encountered with the conventional method.
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Zhou, G., Jiang, H., Yin, Z., Liu, Y., Zhang, Q., Zhang, C., Pan, B., Zhou, J., Zhou, X., Sun, H., et al. (2018) · EBioMedicine · doi:10.1016/j.ebiom.2018.01.011 · Cited by 329
Firmin, F. (1998) · Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery · doi:10.1080/02844319850158930 · Cited by 259
Psychosocial Outcome of Patients After Ear Reconstruction: A Retrospective Study of 62 Patients
Horlock, N., V??gelin, E., Bradbury, E. T., Grobbelaar, A. O., & Gault, D. T. (2005) · Annals of Plastic Surgery · doi:10.1097/01.sap.0000155284.96308.32 · Cited by 228
“Each patient was offered a “reconstructive menu” consisting of (1) no treatment; (2) a prosthetic ear; (3) an osteointegrated prosthesis; (4) autologous reconstruction with a carved costal cartilage framework.(24,25) The technical details, risks, and benefits of each procedure were thoroughly discussed at consultation.”
MethodBiomedical applications of polyethylene
Paxton, N. C., Allenby, M. C., Lewis, P., & Woodruff, M. A. (2019) · European Polymer Journal · doi:10.1016/j.eurpolymj.2019.05.037 · Cited by 216
Microtia in Finland: Comparison of characteristics in different populations
Suutarla, S., Rautio, J., Ritvanen, A., Ala-Mello, S., Jero, J., & Klockars, T. (2007) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2007.04.020 · Cited by 170
“In most cases, multi-step earlobe reconstruction with autogenous rib cartilage is applied [16—18].”
Method
Metadata
- Authors
- Nagata, S.
- Corresponding author
- Nagata, Satoru
- Venue
- Plastic and Reconstructive Surgery
- Published
- 1993-08
- Volume
- 92
- Issue
- 2
- Pages
- 187-201
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2002001684
- Cited by
- 640
- References
- 0
- Citations by year
- 2026: 25 · 2025: 34 · 2024: 34 · 2023: 37 · 2022: 21 · 2021: 43 · 2020: 95 · 2019: 42 · 2018: 37 · 2017: 22 · 2016: 23 · 2015: 25 · 2014: 28 · 2013: 20 · 2012: 17
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Genetics (clinical) › Congenital Ear and Nasal Anomalies
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Keywords
- microtia, ear reconstruction, two-stage reconstruction, skin flaps
- MeSH terms
- Adolescent, Cartilage, Child, Ear, External, Female, Humans, Male, Reoperation, Surgery, Plastic, Surgical Flaps, Suture Techniques, Time Factors
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