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To the Editor.—In the article entitled "Congenital Microtia: Reconstruction With a Silicone Rubber (Silastic) Prosthesis" by Stallings, et al, the authors have presented a sound, conservative, and accurate description of the use of the silicone rubber (SILASTIC) otoplasty prosthesis, pointing out the important points in its use and avoidance of complications.
I believe the most important point in avoiding exposure is to have a loosely applied skin cover. In addition, for the past year I have been using a strip of fascia lata from the thigh, sutured around the helix of the armature.
If infection occurs and is detected early, it may sometimes be cured by insertion of a small polyethylene tube and dripping in the appropriate antibiotic. However, if the infection is gross, or does not respond in two to three days, it is best to remove the implant before further destruction of tissue occurs. If removal is
CRONIN TD. CONGENITAL MICROTIA. Arch Otolaryngol. 1971;94(2):183. doi:10.1001/archotol.1971.00770070419021