Soft-tissue reconstruction for atypical microtia malformations and trauma.
OBJECTIVE
To provide customized reconstructions of atypical microtia malformations and trauma via 1- or 2-stage procedures.


METHODS
Case reports.


METHODS
Academic otolaryngology specialty hospital.


METHODS
Pediatric patients with rare and unique ear malformations.


METHODS
Customized auricular reconstruction using contralateral postauricular donor grafts (skin and cartilage) as well as ipsilateral tissue (flaps and bone).


METHODS
Postoperative results.


RESULTS
Surgical procedures were completed in 1 or 2 stages with minimal morbidity. No donor scars were visible, in contrast to traditional reconstructive methods. The completed auricular appearance was realistic.


CONCLUSIONS
Selected patients can benefit from soft-tissue reconstruction of the auricle that feels normal to the touch and lacks the morbidity and scarring of traditional reconstructive methods.
Ghanem
Marcielle A
MA
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USA.
Abreu
Daniel V
DV
Quintanilla-Dieck
Maria de Lourdes
Mde L
Eavey
Roland D
RD
D016025:Bone Transplantation; D002356:Cartilage / Q000637:transplantation; D002648:Child; D002675:Child, Preschool; D054644:Ear Auricle / Q000002:abnormalities* / Q000293:injuries* / Q000601:surgery; D004431:Ear, External / Q000002:abnormalities* / Q000293:injuries* / Q000601:surgery; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D019651:Plastic Surgery Procedures; D012086:Reoperation; D013524:Surgical Flaps; D014945:Wound Healing