PURPOSE To determine CT findings in the external, middle, and inner ear of patients with microtia and external auditory canal dysplasia. METHODS We used high-resolution CT, with multiplanar or axial 1-mm continuous sections, coronal or sagittal reformations, or low-dose spiral acquisitions, to examine 184 temporal bones of children with microtia. RESULTS In cases of minor microtia, auditory...

In two stages of total ear reconstruction surgery for children with microtia and atresia, plastic surgeons and otologists have cooperated to reduce the number of surgeries and to achieve both esthetically and functionally better results. Ear elevation, external canal plasty and tympanoplasty are performed cooperatively in the second stage of surgery. In the past 5 years we have experienced 70 c...

OBJECTIVE To compare short-term results of atresia repair when performed before versus after microtia reconstruction. STUDY DESIGN Retrospective case review. SETTING Tertiary otologic referral center. PATIENTS Congenital aural atresia with or without microtia: 70 cases over 24 months. INTERVENTION Atresia repair before Medpor microtia reconstruction (ARM) versus atresia repair after mic...

Terms such as oculoauriculovertebral dysplasia, Goldenhar syndrome, and hemifacial microsomia have been used to describe microtia with specific combinations of other craniofacial anomalies. Microtia is also observed with anomalies of postcranial structures. Statistical studies were performed on 297 patients with microtia and other anomalies to identify subgroups of patients representing previou...

BACKGROUND The limited cranial skin covering auricular implants is an important yet underrated factor in auricular reconstruction for both reconstruction surgery and tissue engineering strategies. We report exact measurements on skin deficiency in microtia patients and propose an accessible preoperative method for these measurements. METHODS Plaster ear models (n = 11; male:female = 2:1) of l...

OBJECTIVE Auricular defects are challenging to reconstruct with native tissue. We describe operative techniques and complication management for patients undergoing osseointegrated implants for auriculectomy defects and microtia. SETTING Tertiary referral center. PATIENTS All patients at Duke University Medical Center with auricular defects treated with osseointegrated implants for prostheti...

Facio-Auriculo-Vertebral (FAV) spectrum, also known as Goldenhar syndrome or first and second branchial arch syndrome, is a complex of mainly craniofacial and vertebral anomalies. Microtia is a principal malformation in this complex; it can be unilateral or bilateral. We performed an observational, retrospective, transverse descriptive clinical study, reviewing 149 records of patients with a di...

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 del...

SUMMARY Microtia is a spectrum of congenital deformities, which varies from barely discernable to anotia. Twinning is a well-known risk factor for congenital defects including external ear deformities. Monozygotic twins usually show identical appearances as well as congenital malformations. In special conditions as ear deformities, "mirror-image" may also occur. We report 2 cases of monozygotic...