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At the meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Washington, DC, Bruce S. Bauer, MD, and collaborators, Medical College of Wisconsin, Milwaukee, recently reported 123 auricular reconstructions, including 81 microtias and 42 major acquired defects. Their report emphasized a three-stage reconstruction, beginning at age 5 years. These stages include (1) the placement of autogenous cartilage framework, harvested from rib cartilage; (2) lobule rotation and deepening of the concha; and (3) elevation of the helical margin with additional modification. The use of tissue expanders and vascularized temporoparietal fascia flaps have also proved helpful in auricular reconstruction. The authors stated that with these modifications, consistent results can be obtained in auricular reconstruction.
SCHWABER MK. Advances in Reconstruction of Major Congenital and Acquired Auricular Defects. Arch Otolaryngol Head Neck Surg. 1989;115(5):553. doi:10.1001/archotol.1989.01860290011003
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