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Marcielle A. Ghanem, MD; Daniel V. Abreu, MD; Maria de Lourdes Quintanilla-Dieck, MD; Roland D. Eavey, MD, SM

Arch Otolaryngol Head Neck Surg. 2008;134(8):879-883.

Objective  To provide customized reconstructions of atypical microtia malformations and trauma via 1- or 2-stage procedures.

Design  Case reports.

Setting  Academic otolaryngology specialty hospital.

Patients  Pediatric patients with rare and unique ear malformations.

Interventions  Customized auricular reconstruction using contralateral postauricular donor grafts (skin and cartilage) as well as ipsilateral tissue (flaps and bone).

Main Outcome Measures  Postoperative results.

Results  Surgical procedures were completed in 1 or 2 stages with minimal morbidity. No donor scars were visible, in contrast to traditional reconstructive methods. The completed auricular appearance was realistic.

Conclusion  Selected patients can benefit from soft-tissue reconstruction of the auricle that feels normal to the touch and lacks the morbidity and scarring of traditional reconstructive methods.

Author Affiliations: Pediatric Otolaryngology Service, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, and Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts.

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