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Updated: May 5, 2026

Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
[Management of patients with complex ear deformities]
Dominik André-Lévigne1, Giulia Frigerio1, Nils Guinand2
1Service de chirurgie plastique, reconstructive et esthétique, Département de chirurgie, Hôpitaux universitaires de Genève, 1211 Genève 14.
Abstract:
Complex ear reconstruction requires specialized multidisciplinary care. Most patients present with microtia, often associated with hearing disorders. The management of these disorders is a priority, and reconstruction of the external ear remains optional. Nowadays, auricular reconstruction is based on the subcutaneous implantation of either autologous cartilage or an allogeneic implant. Autologous reconstruction requires highly specialized surgical expertise and involves harvesting rib cartilage but carries a lower risk of exposure compared to allogeneic implants. Both techniques yield good results with a high success rate and have a positive impact on the social functioning and daily life of patients.
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