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August 1971

Congenital Microtia: Reconstruction With a Silicone Rubber (Silastic) Prosthesis

Author Affiliations

USAF; USAF; USAF, Elmendorf, Alaska; Anchorage, Alaska
From the Department of Otolaryngology, USAF Hospital, Elmendorf, Alaska (Drs. Stallings, Sessions, and Howard) and the Department of Otolaryngology, Public Health Service Hospital, Anchorage, Alaska (Drs. Beal and Steward). Dr. Stallings is currently with the Institute of Reconstructive Plastic Surgery, New York University Medical Center. Dr. Sessions is currently at Washington University School of Medicine, and Dr. Stewart is currently a resident in otolaryngology at the University of Florida, Gainesville.

Arch Otolaryngol. 1971;94(2):176-179. doi:10.1001/archotol.1971.00770070412018

The artistic surgical anatomy of the external ear is delicate and difficult to duplicate. The Cronin Silicone rubber (Silastic) otoplasty prosthesis for subcutaneous implantation allows a good cosmetic result in two stages. A not infrequent complication is exposure of the silicone rubber frame. The exposed silicone rubber should be trimmed and immediately covered with a local flap. Our series consists of nine ears with congenital microtia. Seven ears had a satisfactory result. The other two patients required removal of the implant secondary to self-induced trauma. The technique is recommended for selective clinical application.

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