Mid-Section Auricular Reconstruction for Mild Microtia
HAN Jingjian
ZHAO Yanyong
LIN Lin
JI Dongshuo
YANG Mei
Abstract：Objective To introduce a novel approach of mid-section auricular reconstruction for the treatment of mild microtia. Method Reconstruction of the mid-section of the auricle was used with preservation of existing crus helicis and ear-lobe in patients with mild microtia that were about 1/2 to 2/3 of normal auricular sizes. Local tissue was expanded and carti-lage framework was designed and constructed to fit the need of each individual patient, while preserving as much usable native auricle tissue as possible. Result Since 2010, 13 auricles were reconstructed with this approach. There was no postoperative flap necrosis. All reconstructed auricles were rated as yielding acceptable cosmetic effects. Most patients did not need addi-tional adjustment operations. Conclusion Auricular reconstruction should be guided by microtia classification which deter-mines the specific approach. For mildly microtic ears with near normal auricular appearance in which composite tissue trans-plantation reconstruction is not indicated, simple mid-section reconstruction with skin expansion is a better approach com-pared with total ear reconstruction.
Keywords：Microtiaauricular reconstructionpreauricular skin flapfascia flap
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 521-523 )