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Objective quantitative methods to evaluate microtia reconstruction: A scoping review.

Yangyang Lin1,2,3, Elsa M Ronde1,2,3, Kevin E J van den Brule1

  • 1Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam Medical Centre, Amsterdam, The Netherlands.

JPRAS Open
|September 18, 2023
PubMed
Summary
This summary is machine-generated.

Current methods for evaluating microtia reconstruction are subjective. This review summarizes objective measurement techniques, highlighting the need for standardized, precise methods for accurate auricle assessment.

Keywords:
MicrotiaObjective evaluationSystematic review

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Area of Science:

  • Plastic Surgery
  • Medical Imaging
  • Anthropometry

Background:

  • Subjective auricle evaluation methods lack specificity and precision for assessing microtia reconstruction outcomes.
  • Objective measurement is crucial for accurate and comprehensive assessment of surgical results.

Purpose of the Study:

  • To conduct a scoping review summarizing objective methods for evaluating microtia reconstruction outcomes.
  • To identify and categorize quantitative measurement techniques used in the literature.

Main Methods:

  • Systematic literature search across Embase, PubMed, Cochrane, CNKI, and VIP databases.
  • Inclusion of studies using quantitative anthropometric methods for auricle evaluation post-reconstruction.
  • Data extraction on measurement techniques and landmark definitions.

Main Results:

  • Twenty-five publications reported quantitative objective measurements.
  • Commonly measured parameters included auricular protrusion (13 studies), size (12 studies), and position/symmetry (3 studies).
  • Limited studies focused on fine structures (e.g., tragus, concha), and landmark definitions varied significantly.

Conclusions:

  • Heterogeneity in measurement methods complicates objective evaluation of microtia reconstruction.
  • While general auricular measurements are abundant, detailed assessments of position and fine structures are limited.
  • Three-dimensional imaging and computer analysis offer potential for future standardized evaluations.