title: Aesthetic surgery for microtia.
abstract: We describe here a technique for reconstruction of the external ear based upon an autogenous costal cartilage graft which is inserted into a cutaneous pocket dissected in the auricular area. Three subsequent procedures are then performed: rotation of the ear-lobe; reconstruction of the tragus; and elevation of the auricle. The ideal age for reconstruction is about 7 years. This technique was originally described by Brent, who has a very extensive experience with this kind of surgery. Skin deficiencies can be overcome by using either a temporo-parietal fascial flap or a skin expander.
authors.affiliation: Clinique Universitaire d'ORL de Bordeaux, France.
authors.forename: P
authors.initials: P
authors.lastname: Boudard
authors.forename: C
authors.initials: C
authors.lastname: Benassayag
authors.forename: R S
authors.initials: RS
authors.lastname: Dhillon
authors.forename: J P
authors.initials: JP
authors.lastname: Bebear
authors.forename: M
authors.initials: M
authors.lastname: Portmann
mesh_terms: D002356:Cartilage / Q000637:transplantation; D002648:Child; D004431:Ear, External / Q000002:abnormalities*; D005260:Female; D006085:Graft Survival; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D015625:Tissue Expansion Devices