Congenital

Auricular Deformities

Bilateral microtia reconstruction

Liu X, Zhang Q, Quan Y, et al (Plastic Surgery Hosp, Peking, China) J Plast Reconstr Aesth Surg 63:1275-1278, 2010^§

Abstract

Background

Ear reconstruction for congenital microtia is a challenge for the plastic and reconstructive surgeon. Ten percent of microtia cases are bilateral. However, the published literature contains relatively little information about auricular reconstruction in bilateral microtia. Some authorities prefer to reconstruct each side at different stages. In this article, we introduce an operative method to reconstruct both sides simultaneously. This is completely feasible, and saves time and cost. Furthermore, this method allows comparison between sides during surgery, and facilitates carving of bilateral ear frameworks of equal size and shape.

Methods

From March 2007 to June 2008, 21 cases of congenital bilateral microtia were treated by post-auricular skin flap expansion, autogenous rib cartilage framework implantation, post-auricular fascial flap lifting, followed by split-thickness free skin grafting to reconstruct bilateral external ears during the same stage.

Results

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