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A Two-Flap Combination for Auricular Elevation in Microtia Reconstruction.

Ly Xuan Quang1,2, Tran Ngoc Tuong Linh2, Van Thi Hai Ha2

  • 1From the Department of Otolaryngology, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City.

Plastic and Reconstructive Surgery
|February 2, 2023
PubMed
Summary
This summary is machine-generated.

This study presents a modified Nagata technique using combined flaps for ear reconstruction in microtia patients. The new method offers stable projection and high patient satisfaction with minimal complications.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Otolaryngology

Background:

  • Microtia reconstruction presents challenges in achieving aesthetic and functional outcomes.
  • The Nagata technique is a common method, but modifications can improve results.

Purpose of the Study:

  • To describe and evaluate a modified Nagata technique using combined flaps for ear reconstruction.
  • To assess the effectiveness of this technique in providing reasonable auricle projection.

Main Methods:

  • A modified Nagata technique incorporating temporoparietal and retroauricular skin flaps was used.
  • Reconstructed ears were compared to contralateral ears for shape, size, and position.
  • Postoperative complications and patient satisfaction were evaluated.

Main Results:

  • 38 patients (39 ears) with microtia underwent reconstruction, with an average follow-up of 33.6 months.
  • Good to excellent results in shape (56.4%) and acceptable size/position were achieved.
  • High patient satisfaction (79.9%) with no flap necrosis or hypertrophic scarring was reported.

Conclusions:

  • The modified combined flap technique provides stable projection and symmetry with high patient satisfaction.
  • Advantages include a high survival rate, improved skin match, and fewer complications compared to previous methods.