title: [Effectiveness of two-stage operation of auricular reconstruction in treatment of lobule-type microtia].
abstract: OBJECTIVE
  To investigate the method and effectiveness of two-stage operation of auricular reconstruction in treating lobule-type microtia.
  
  
  METHODS
  Between March 2007 and April 2010, 19 patients (19 ears) of lobule-type microtia were treated. There were 13 males and 6 females, aged 5 to 27 years (mean, 12.6 years). Of 19 patients, 11 were less than or equal to 14 years old. The locations were left ear in 9 cases and right ear in 10 cases. Two-stage operation for auricular reconstruction of lobule-type microtia included fabrication and grafting of the costal cartilage framework at the first-stage operation and the ear elevation operation at the second-stage operation.
  
  
  RESULTS
  Pseudomonas aeruginosa infection occurred in 1 patient after the first-stage operation, who was not given the second-stage operation. Skin necrosis occurred in 1 patient 8 days after the second-stage operation and healed after symptomatic treatment. Eighteen patients were followed up 6 months to 2 years (mean, 14 months). Retraction of cranioauricular angle and thoracic deformity occurred in 1 patient. The surgical results were satisfactory in the other 17 patients whose reconstructive ear had verisimilar shape and suitable cranioauricular angle.
  
  
  CONCLUSIONS
  Two-stage operation of auricular reconstruction is considered to be an ideal method for lobule-type microtia.
authors.affiliation: Department of Plastic Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou Fujian 350005, PR China.
authors.forename: Meishui
authors.initials: M
authors.lastname: Wang
authors.forename: Biao
authors.initials: B
authors.lastname: Wang
authors.forename: Houbing
authors.initials: H
authors.lastname: Zheng
authors.forename: Shanying
authors.initials: S
authors.lastname: Wu
authors.forename: Xiuying
authors.initials: X
authors.lastname: Shan
authors.forename: Fulian
authors.initials: F
authors.lastname: Zhuang
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004431:Ear, External / Q000002:abnormalities / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult