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Anthropometric Difference of Unilateral Microtia Reconstructed Auricle
Aqilah Mumtazah1, Rizka Uswatun Hasanah1, Faizal Rezky Dhafin2
1Faculty of Medicine, Airlangga University, Surabaya, Indonesia.
Summary
Auricular reconstruction using costal cartilage showed no significant difference in width-to-lobule ratio but a significant difference in height-to-lobule ratio compared to the normal ear. Width ratio may be a better success indicator for microtia surgery.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Anthropometry
Background:
- Microtia reconstruction aims to restore ear aesthetics and function.
- Autologous costal cartilage is a common method for auricular reconstruction.
- Objective anthropometric evaluation is crucial for assessing surgical outcomes.
Purpose of the Study:
- To compare anthropometric differences between reconstructed and normal auricles in microtia patients.
- To evaluate the surgical outcomes of auricular reconstruction using autologous costal cartilage.
- To identify reliable anthropometric indicators for successful microtia reconstruction.
Main Methods:
- Cross-sectional study involving 20 unilateral microtia patients.
- Auricular reconstruction performed using autologous costal cartilage.
- Anthropometric measurements (width/lobule width, height/lobule height ratios) from auricle photographs analyzed via paired t-test.
Main Results:
- No significant difference in the auricle width-to-lobular width ratio (P > .05).
- Significant difference in the auricle height-to-lobular height ratio (P < .05) between reconstructed and normal auricles.
- Demonstrated variability in anthropometric outcomes post-reconstruction.
Conclusions:
- Auricular reconstruction with costal cartilage yields different anthropometric results compared to normal ears, particularly in height.
- The auricle width-to-lobular width ratio may serve as a more objective and reliable indicator for evaluating microtia reconstruction success.
- Further research should validate the width ratio as a standard outcome measure.

