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A True Single-Stage Reconstruction of a Projected Auricle for Concha-Type Microtia Incorporating Endoscopically Harvested Temporoparietal Fascia

Nataliya, Biskup MD; Martin, Mark C. MD, DMD

doi: 10.1097/SCS.0000000000001916
Clinical Studies

Reconstruction of microtia with autogenous costal cartilage that produces a well-projected ear in a single stage is a challenging endeavor. In this case report, we describe a single-stage, projected costal cartilage-based reconstruction of concha type mitoria. Due to the patient's low hairline, his hair-bearing scalp would encroach on the ear framework if placed subcutaneously in the standard fashion. Thus, a large TPF flap harvested with endoscopic assistance was planned to achieve both a color-matched hairless skin envelope and a well-projected ear in single stage.

Loma Linda University School of Medicine, Loma Linda, CA.

Address correspondence and reprint requests to Nataliya Biskup, MD, 11175 Campus Street, Suite 21126 Loma Linda, CA 92354. E-mail:

Received 15 September, 2014

Accepted 29 March, 2015

The authors report no conflicts of interest.

© 2015 by Mutaz B. Habal, MD.