Summary
We describe here a technique for reconstruction of the external ear based upon an autogenous costal cartilage graft which is inserted into a cutaneous pocket dissected in the auricular area. Three subsequent procedures are then performed: rotation of the ear-lobe; reconstruction of the tragus; and elevation of the auricle. The ideal age for reconstruction is about 7 years. This technique was originally described by Brent, who has a very extensive experience with this kind of surgery. Skin deficiencies can be overcome by using either a temporo-parietal fascial flap or a skin expander.
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Boudard, P., Benassayag, C., Dhillon, R.S. et al. Aesthetic surgery for microtia. Arch Otorhinolaryngol 246, 349–352 (1989). https://doi.org/10.1007/BF00463592
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DOI: https://doi.org/10.1007/BF00463592