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Krista L. Olson, MD; Timothy F. Kelley, MD; Roger L. Crumley, MD

Arch Facial Plast Surg. 2007;9(2):125-129.

Objective  To describe the novel use of a delayed chondrofascial flap to increase auricular projection in microtia reconstruction.

Methods  Retrospective survey analysis. Ten consecutive children with unilateral microtia without other craniofacial abnormalities were followed up for a period ranging from 6 months to 5 years after microtia reconstruction was performed with the newly described delayed flap. Individual patient reconstructed auricular projection measurements were compared with contralateral (control) auricular projection values.

Results  The auricular projection measurements taken at the superior helix and the lobule approximated those of the control side as confirmed by t test.

Conclusion  The newly described delayed chondrofascial flap buttresses auricular projection in microtia repair to approximate the projection values of the normal side.

Author Affiliations: Bobby R. Alford Department of Otolaryngology–Head and Neck Surgery, Baylor College of Medicine, Houston, Tex (Dr Olson); and Department of Otolaryngology–Head and Neck Surgery, University of California at Irvine (Dr Crumley). Dr Kelley is in private practice, Newport Beach, Calif.