Corstiaan C Breugem1, Ken J Stewart, Moshe Kon. 1. Dutch Centre for Ear Reconstruction, Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital, Utrecht, the Netherlands. c.c.breugem@umcutrecht.nl
Abstract
BACKGROUND: Microtia is a well-known craniofacial malformation treatable with numerous different treatment strategies and techniques. The purpose of this study was to analyze the current international trends in microtia repair. METHODS: All surgeons attending the fourth International Ear Reconstruction Congress in Edinburgh received a questionnaire by e-mail about their current surgical practice in microtia care. RESULTS: Thirty-one questionnaires were received. Most primary reconstructions are performed at ages 8 to 10 years using autologous cartilage from the ipsilateral sixth to eighth ribs. Most surgeons make a multilayer framework, leaving a subcutaneous pedicle. Suction drainage was used in all patients. On average, the second stage was performed more than 6 months later using a mastoid flap. Most surgeons do not reconstruct the middle ear. CONCLUSIONS: Microtia reconstruction is performed in many different ways, with numerous treatment and postoperative possibilities.
BACKGROUND:Microtia is a well-known craniofacial malformation treatable with numerous different treatment strategies and techniques. The purpose of this study was to analyze the current international trends in microtia repair. METHODS: All surgeons attending the fourth International Ear Reconstruction Congress in Edinburgh received a questionnaire by e-mail about their current surgical practice in microtia care. RESULTS: Thirty-one questionnaires were received. Most primary reconstructions are performed at ages 8 to 10 years using autologous cartilage from the ipsilateral sixth to eighth ribs. Most surgeons make a multilayer framework, leaving a subcutaneous pedicle. Suction drainage was used in all patients. On average, the second stage was performed more than 6 months later using a mastoid flap. Most surgeons do not reconstruct the middle ear. CONCLUSIONS:Microtia reconstruction is performed in many different ways, with numerous treatment and postoperative possibilities.
Authors: Iris A Otto; Rob F M van Doremalen; Ferry P W Melchels; Michail N Kolodzynski; Behdad Pouran; Jos Malda; Moshe Kon; Corstiaan C Breugem Journal: Plast Reconstr Surg Glob Open Date: 2016-12-22
Authors: Thomas H Jovic; John A G Gibson; Rowena Griffiths; Thomas D Dobbs; Ashley Akbari; Nicholas Wilson-Jones; Rhodri Costello; Peter Evans; Mark Cooper; Steve Key; Ronan Lyons; Iain S Whitaker Journal: Front Pediatr Date: 2021-03-26 Impact factor: 3.418
Authors: Nicholas G Cuccolo; Myrthe J Zwierstra; Ahmed M S Ibrahim; Abbas Peymani; Salim Afshar; Samuel J Lin Journal: Plast Reconstr Surg Glob Open Date: 2019-06-19