Microtia Reconstruction: Stage 1

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Author: Joseph Rousso
Specialties: Neurotology Otology, Otolaryngology, Pediatric Otolaryngology, Plastic Surgery
Schools: The New York Eye & Ear Infirmary of Mount Sinai
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Basic Info

Stage 1 Microtia Repair using rib cartilage and modifications to the Nagata method of auricular formation.

DOI#: http://dx.doi.org/10.17797/cquv22l7p3



Stage 1 microtia reconstruction


congenital microtia, auricular avulsion, auricular loss





Plastic set, rib harvest instrumentation, medium dissection set.

Preoperative Workup

temporal bone CT scan, renal ultrasound, full physical exam with particular attention to chest wall deformities and rib anomalies.

Anatomy and Landmarks

Rib harvest: ribs 6 and 7 with synchondrosis, rib 8 and rib 9.
unaffected auricle with measurement and template delineating helix, anti helix, scaphoid fossa, fossa triangular, cymba and caves concha, tragus, anti tragus. Additionally, template measurements to lateral cants, alar base, and oral commissure.


Advantages: gold standard for microtia reconstruction, autologous grafting material
Disadvantages: donor site morbidity,


pneumothorax, hemothorax, infection, bleeding.

Disclosure of Conflicts

pneumothorax, hemothorax, infection, bleeding.



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