title: International trends in the treatment of microtia.
abstract: BACKGROUND
  Microtia is a well-known craniofacial malformation treatable with numerous different treatment strategies and techniques. The purpose of this study was to analyze the current international trends in microtia repair.
  
  
  METHODS
  All surgeons attending the fourth International Ear Reconstruction Congress in Edinburgh received a questionnaire by e-mail about their current surgical practice in microtia care.
  
  
  RESULTS
  Thirty-one questionnaires were received. Most primary reconstructions are performed at ages 8 to 10 years using autologous cartilage from the ipsilateral sixth to eighth ribs. Most surgeons make a multilayer framework, leaving a subcutaneous pedicle. Suction drainage was used in all patients. On average, the second stage was performed more than 6 months later using a mastoid flap. Most surgeons do not reconstruct the middle ear.
  
  
  CONCLUSIONS
  Microtia reconstruction is performed in many different ways, with numerous treatment and postoperative possibilities.
authors.affiliation: Dutch Centre for Ear Reconstruction, Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital, Utrecht, the Netherlands. c.c.breugem@umcutrecht.nl
authors.forename: Corstiaan C
authors.initials: CC
authors.lastname: Breugem
authors.forename: Ken J
authors.initials: KJ
authors.lastname: Stewart
authors.forename: Moshe
authors.initials: M
authors.lastname: Kon
mesh_terms: D000367:Age Factors; D002356:Cartilage / Q000637:transplantation; D002648:Child; D054644:Ear Auricle / Q000002:abnormalities / Q000601:surgery; D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery; D034742:Electronic Mail; D006801:Humans; D008416:Mastoid / Q000601:surgery; D010818:Practice Patterns, Physicians' / Q000639:trends; D019651:Plastic Surgery Procedures / Q000639:trends*; D016038:Skin Transplantation; D013396:Suction; D013524:Surgical Flaps; D011795:Surveys and Questionnaires; D014182:Transplantation, Autologous