title: Clinical Efficacy of a Modified Nagata Method That Retains the Fascia Pedicle of the Mastoid Skin Flap in Auricular Reconstruction of Chinese Microtia Patients.
abstract: The purpose of this study was to search for an enhanced blood supply in the distal edge of the skin at the mastoid area in total auricular reconstruction. The authors modified the Nagata method by reserving a subcutaneous fascia pedicle (diameter, 3 to 5 mm) at the intersection of the point 11 to 13 mm from the residual ear tragus (or tragus projection) and 8 to 10 mm from the lowest point of the residual ear lobe. Compared with the traditional Nagata method group, the modified Nagata method group that retained the fascia pedicle of the mastoid skin flap had higher rates of excellent and good flaps (p < 0.05). Auricular reconstruction with the modified Nagata method, retaining the fascia pedicle of the mastoid skin flap, had a reduced incidence of skin flap necrosis.
authors.affiliation: Changchun, People's Republic of China From the Department of Plastic and Aesthetic Surgery, First Hospital of Jilin University, the Department of Immunology, College of Basic Medical Sciences, and the Department of Anesthesia, China-Japan Union Hospital, Jilin University.
authors.forename: Wang-Shu
authors.initials: WS
authors.lastname: Wang
authors.forename: Dong-Mei
authors.initials: DM
authors.lastname: Yan
authors.forename: Jun-Yang
authors.initials: JY
authors.lastname: Chen
authors.forename: Duo
authors.initials: D
authors.lastname: Zhang
authors.forename: Ying
authors.initials: Y
authors.lastname: Shao
authors.forename: Wei-Hai
authors.initials: WH
authors.lastname: Peng
mesh_terms: D000293:Adolescent; D044466:Asian People / Q000706:statistics & numerical data; D002648:Child; D015331:Cohort Studies; D065817:Congenital Microtia / Q000175:diagnosis / Q000208:ethnology / Q000601:surgery*; D054644:Ear Auricle / Q000601:surgery*; D004954:Esthetics; D005205:Fascia / Q000637:transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D061646:Operative Time; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply / Q000637:transplantation*; D013624:Taiwan; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology