Follow-up study of the reconstruction of microtia using Silastic frame.

The authors describe a new method using a Silastic frame for reconstructing typical and minor-grade microtia. For the reconstruction of typical microtia, the temporoparietal muscle fascia is used, which is brought to the conchal part of the frame through a skin tunnel in front of the auricle. Then full-thickness skin is grafted on it. This avoids exposure of the frame which may result in extrusion. Follow-up study revealed this new device gave reliable long-term results. For minor-grade microtia, the entire frame was used except the conchal part and the follow-up study showed a wonderful result.