Reconstruction of Microtia Using a Single Expanded Postauricular Flap without Skin Grafting: Experience of 683 Cases

摘要

Background: Auricular reconstruction of congenital microtia patients is a huge challenge for plastic surgeons worldwide. Current techniques usually use a retroauricular fascial flap with skin grafting, often proving to be color mismatched, complex, and with visible scarring. An uncomplicated strategy that results in minimal scarring and a good color match is still required, especially for Asian patients. In the present work, the authors developed a modified technique for auricular reconstruction using a single expanded flap combined with a cartilage framework.