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Related Experiment Video

Updated: Dec 10, 2025

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma
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[TOTAL RECONSTRUCTION OF CONGENITAL MICROTIA - OUR EXPERIENCE WITH 150 PATIENTS].

Nir Bitterman1, Ohad Ben-Nun1, Semyon Movshovich1

  • 1The Unit of Plastic Surgery, Bnai-Zion Medical Center, Bnai-Zion Medical Center and the Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Harefuah
|August 28, 2020
PubMed
Summary

This study reviews total ear reconstruction for microtia patients, highlighting autogenous costal cartilage as the primary method. Careful surgical planning and execution are crucial for successful outcomes in microtia ear reconstruction.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Congenital Malformations

Background:

  • Ear reconstruction addresses congenital malformations like microtia and anotia.
  • It also corrects acquired deformities from burns, trauma, or tumor removal.
  • Total ear reconstruction presents significant surgical challenges.

Purpose of the Study:

  • To present surgical experience in total ear reconstruction for microtia.
  • To evaluate outcomes and complications of the procedure.

Main Methods:

  • Retrospective study of microtia patients undergoing surgery (2000-2017).
  • Minimum one-year follow-up for all patients.
  • Data collection focused on surgical complications.

Main Results:

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  • 150 patients (102 male, 48 female) underwent reconstruction.
  • Most common age group: 8-12 years (85%).
  • Complications included skin necrosis (4%), infections (1.3%), pneumothorax (8%), hypertrophic scars (24.5%), cartilage exposure (8%), exposed sutures (16.6%), and chest deformity (1.3%).

Conclusions:

  • Autogenous costal cartilage is the standard for auricle reconstruction in microtia.
  • Achieving desired outcomes requires meticulous planning, surgical skill, and precise anatomical sculpting.
  • Careful technique minimizes complications in ear reconstruction.