[Selection and application of ear reconstruction surgery for Chinese microtia].
OBJECTIVE
Based on the different physiological characteristics of the mastoid skin and soft tissue of Chinese congenital microtia malformation, the Nagata two-stage method was respectively applied for ear reconstruction, and the clinic experience were investigated in this study.


METHODS
According to the mastoid skin and soft tissue difference in the thickness and tightness, 280 patients diagnosed with congenital microtia were divided into four types: thin and tight, thin and loose, thick and tight, thick and loose type. 90 cases of thin and loose type accepted the Nagata method of ear reconstruction surgery.


RESULTS
With average 7.8 months follow up, 84.4% (76/90) cases using Nagata two-stage method were satisfied with the outcome of the reconstructed ear including three dimensional position and subunit appearance. There were no postoperative complication related to chest wall deformity or affected normal physical function.


CONCLUSIONS
The Nagata two-stage method is appropriate management choice for Chinese congenital microtia. Based on the different physiological characteristics of the mastoid skin and soft tissue, the selection of different operational should be beneficial to the ear reconstruction of Chinese congenital microtia malformation.
Zhou
Z
Xu
Wang
W
Yue
Zhang
Z
Qingguo
Liu
L
Tun
Xie
X
Yangchun
Hu
H
Jingtian
Qian
Q
Jin
Wang
W
Bingqing
Cheng
C
Lin
D002681:China; D065817:Congenital Microtia / Q000601:surgery*; D004431:Ear, External / Q000601:surgery*; D006801:Humans; D008416:Mastoid; D013506:Otologic Surgical Procedures; D019651:Plastic Surgery Procedures; D012867:Skin; D035441:Thoracic Wall