title: A True Single-Stage Reconstruction of a Projected Auricle for Concha-Type Microtia Incorporating Endoscopically Harvested Temporoparietal Fascia.
abstract: Reconstruction of microtia with autogenous costal cartilage that produces a well-projected ear in a single stage is a challenging endeavor. In this case report, we describe a single-stage, projected costal cartilage-based reconstruction of concha type mitoria. Due to the patient's low hairline, his hair-bearing scalp would encroach on the ear framework if placed subcutaneously in the standard fashion. Thus, a large TPF flap harvested with endoscopic assistance was planned to achieve both a color-matched hairless skin envelope and a well-projected ear in single stage.
authors.affiliation: Loma Linda University School of Medicine, Loma Linda, CA.
authors.forename: Biskup
authors.initials: B
authors.lastname: Nataliya
authors.forename: Mark C
authors.initials: MC
authors.lastname: Martin
mesh_terms: D002648:Child; D065817:Congenital Microtia / Q000601:surgery*; D066186:Costal Cartilage / Q000637:transplantation*; D054644:Ear Auricle / Q000002:abnormalities / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005205:Fascia / Q000637:transplantation*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000637:transplantation*; D013703:Temporal Muscle / Q000601:surgery; D020858:Tissue and Organ Harvesting / Q000379:methods*; D060053:Transplant Donor Site / Q000601:surgery