Reconstruction of Congenital Microtia and Anotia: Analysis of Practitioner Epidemiology and Postoperative Outcomes

Cuccolo, Nicholas G.; Zwierstra, Myrthe J.; Ibrahim, Ahmed M. S.; Peymani, Abbas; Afshar, Salim; Lin, Samuel J.

doi:10.1097/gox.0000000000002318

Cited by 16 publications

(13 citation statements)

References 84 publications

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“…Auricle reconstruction can achieve high effectiveness only when the reconstructed auricle and the healthy auricle were symmetrical (12). The position of the auricle on the healthy side and the auricle on the affected side in patients with microtia was often inconsistent, and some patients were accompanied by maxillofacial deformity (13). Meanwhile, in clinical practice, plastic surgeons cannot find an effective way to accurately locate the reconstructed auricle (14).…”

Section: Discussionmentioning

confidence: 99%

A novel method to accurately locate the reconstructed auricle

Sun¹,

Wang²,

Huang³

et al. 2022

Transl Pediatr

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Background: Congenital microtia is a common congenital disease in children, the cause of which is still unclear. At present, the main treatment for congenital microtia is ear reconstruction. Accurately locating of the reconstructed ear on the affected side before ear reconstruction surgery is difficult, while it is the key of successful operation. Our ear reconstruction team has developed a novel method to accurately locate the reconstructed auricle. This novel method has achieved good results in clinical practice.Methods: Thirty patients with unilateral ear reconstruction, who underwent auricle reconstruction using our invented auricle reconstruction positioning method in the Plastic Surgery Hospital of Chinese Academy of Medical Sciences from January 2020 to July 2021, were enrolled in this study.Results: Through Wilcoxon signed rank test, we found that there was no statistical difference between the mean distance from the highest point of the patient's normal ear to the central axis of the nose and that from the highest point of the reconstructed ear to the central axis of the nose (P>0.05). Meanwhile, there was no statistical difference between the mean distance from the lowest point of the patient's normal ear to the central axis of the nose and that from the lowest point of the reconstructed ear to the central axis of the nose (P>0.05).The satisfaction rate of patients and their families to the location of the reconstructed auricle was 100%. Conclusions:The novel method of locating the reconstructed auricle employs simple materials. The implementation process is easy, and the effect is significant. To a certain extent, it solves the difficulty of locating the reconstructed auricle in ear reconstruction operation. Although this method can only be applied to patients with unilateral microtia, we recommend it for locating the reconstructed auricle by every plastic surgeon.

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Section: Discussionmentioning

confidence: 99%

A novel method to accurately locate the reconstructed auricle

Sun¹,

Wang²,

Huang³

et al. 2022

Transl Pediatr

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“…It is abundant, accessible and easily fabricated [7]. A number of surgical techniques have been used for total ear reconstruction using costal cartilage, with each containing a number of different stages including Tanzer, Brent and Nagata [8].…”

Section: Introductionmentioning

confidence: 99%

Three-Dimensional Printing as a Potentially Effective Strategy for Improving the Outcomes in Microtia Reconstruction

Bayoumi¹,

Din

Mahmoud

et al. 2021

The Egyptian Journal of Plastic and Reconstructive Surgery

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Aim: The reconstruction of microtia cases is a challenging topic and auricular reconstruction is a unique area of facial plastic surgery where a wide array of reconstructive options often must be considered. The goal is to assess the use of three-dimensional (3D) printing to create a 3D model for use during reconstruction to achieve better aesthetic results.Patients and Methods: This study included ten patients with microtia. Utilizing two stages of ear reconstruction, the authors used a 3D printed auricular model of the contralateral ear as an intraoperative guide. The Mansoura ear reconstruction scale was conceptualized and used by the authors to assess the final aesthetic outcomes.Results: In total there were 10 patients with 11 affected auricles. Results were 6 patients with an excellent result, 3 patients with a very good result and one patient with a fair result according to Mansoura ear reconstruction scale. Conclusions:The use of 3D printed models for microtia reconstruction resulted in an overall increase in aesthetic outcomes and increased patient satisfaction.

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“…When abnormality manifests only in cosmetic defect, it doesn't have serious effect for child's health, because it can be correct by plastic surgery. However, when cosmetic defect accompanied by hearing loss, this case become more difficult as child's socialization start to be harder [8,10,11].…”

Section: Introductionmentioning

confidence: 99%

Congenital Anomalies of The Ear in Newborns from Lviv Region (west Ukraine) for 2006-2018 YY.

Nataliya¹

2020

JCO

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Objectives The ear’s congenital anomalies usually occur in the outer, middle or inner ear separately or in combination. We had determined the сongenital ear’s anomalies (CEA) in newborns (2006-2018 yy) in West Ukraine, Lviv region. Methods 14 newborns who were diagnosed according to the reporting form by the maternity hospitals with CEA were analyzed over a period of 13 years.Results During the study period (2006–2018), there were 366 147 births reported, and 8634 newborns with birth defects, 14 were with CEA, an average incidence of 0.4 per 10 000 births. Our study included 10 boys and 4 girls with CEA. Male-to-female ratio was 2.5:1. The number of newborns with ear pathology was 1.8 times higher in the city than in the village. The most common birth defects of the ear were Q16.1 congenital absence, atresia and stricture of auditory canal (external) – 4 (28.6%) and Q16.9 CEA causing impairment of hearing, unspecified – 4 (28.6%), especially the most common of right side. Microtia (Q17.2) was met very rarely -1 (7.1%) and other CEA Q16.9-1 (7.1%). During this period there were only 2 cases of anotia and 1 case of microtia. There was only 1 (7.1%) case of bilateral CEA in boy from town. Just one girl had CEA was associated with birth defect of musculoskeletal system. Conclusion This is necessary to establish the correct diagnosis in time, especially for mind of the family doctors, genetic counseling for relatives family for has benefited earlier prophylaxis.

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Reconstruction of Congenital Microtia and Anotia: Analysis of Practitioner Epidemiology and Postoperative Outcomes

Cited by 16 publications

References 84 publications

A novel method to accurately locate the reconstructed auricle

A novel method to accurately locate the reconstructed auricle

Three-Dimensional Printing as a Potentially Effective Strategy for Improving the Outcomes in Microtia Reconstruction

Congenital Anomalies of The Ear in Newborns from Lviv Region (west Ukraine) for 2006-2018 YY.

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