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Microtia Reconstruction in Patients with Craniofacial Microsomia

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Craniofacial Microsomia and Treacher Collins Syndrome
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Abstract

Microtia reconstruction is a challenging surgical undertaking that requires dedicated expertise and careful patient counseling. The purpose of this chapter is to provide protocols for the three most common techniques with pearls for obtaining optimal results. The advantages and disadvantages of three reconstructive approaches will be addressed to support shared decision-making among surgeons, anaplastologists, psychologists, patients, and their families.

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References

  1. Tanzer RC. Total reconstruction of the auricle: the evolution of a plan of treatment. Plast Reconstr Surg. 1971;47(6):523–33.

    Article  CAS  PubMed  Google Scholar 

  2. Brent BMD. Technical advances in ear reconstruction with autogenous rib cartilage grafts: personal experience with 1200 cases. Plast Reconstr Surg. 1999;104(2):319–34.

    Article  CAS  PubMed  Google Scholar 

  3. Firmin F, Dusseldorp J, Marchac A. Auricular reconstruction. New York: Thieme Medical Publishers; 2017.

    Book  Google Scholar 

  4. Nagata S. Auricular reconstruction: congenital auricular defects-Microtia. In: Plastic surgery: indications and practice. Philadelphia: Saunders Elsevier; 2008. p. 671–99.

    Google Scholar 

  5. Reinisch JF, Lewin S. Ear reconstruction using a porous polyethylene framework and temporoparietal fascia flap. Facial Plast Surg. 2009;25(03):181–9.

    Article  CAS  PubMed  Google Scholar 

  6. Park SS, Hood RJ. Auricular reconstruction. Otolaryngol Clin N Am. 2001;34(4):713–38.

    Article  CAS  Google Scholar 

  7. Marx H. Die Missbildungen des ohres. Denker-Kahlersche Handbuch der Hals, Nasen und ohrenheilk. Gehororganl. 1926;131–69.

    Google Scholar 

  8. Meurman Y. Congenital microtia and meatal atresia: observations and aspects of treatment. AMA Arch Otolaryngol. 1957;66(4):443–63.

    Article  CAS  PubMed  Google Scholar 

  9. Tanzer RC, RC T. Microtia. 1978.

    Google Scholar 

  10. Weerda H. Classification of congenital deformities of the auricle. Facial Plast Surg. 1988;5(05):385–8.

    Article  CAS  PubMed  Google Scholar 

  11. Firmin F, Marchac A. A novel algorithm for autologous ear reconstruction. Semin Plast Surg. 2011;25(4):257–64.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Park C, Park JY. Classification and algorithmic management of constricted ears: a 22-year experience. Plast Reconstr Surg. 2016;137(5):1523–38.

    Article  CAS  PubMed  Google Scholar 

  13. Campo AA, Victor-Baldin A, Contreras-Mérida SM. Surgical-based classification for microtia. J Craniofac Surg. 2018;29(6):1651–4.

    Article  PubMed  Google Scholar 

  14. Park C. Upper auricular adhesion malformation: definition, classification, and treatment. Plast Reconstr Surg. 2009;123(4):1302–12.

    Article  CAS  PubMed  Google Scholar 

  15. Takase M, Hashimoto I, Nakanishi H, Tanaka S, Matsumoto K, Matsuo S. Reconstruction of microtia with laser hair removal before transplantation of costal cartilage. J Plast Reconstr Aesthet Surg. 2008;61:S86–91.

    Article  PubMed  Google Scholar 

  16. Guo Y, Shan J, Zhang T. Clinical application of intense pulsed light depilation technology in total auricular reconstruction. Lasers Med Sci. 2017;32(6):1367–73.

    Article  PubMed  Google Scholar 

  17. Yamada A. Autologous rib microtia construction: Nagata technique. Facial Plast Surg Clin North Am. 2018;26(1):41–55.

    Article  PubMed  Google Scholar 

  18. Park JY, Park C. Microtia reconstruction in hemifacial microsomia patients: three framework coverage techniques. Plast Reconstr Surg. 2018;142(6):1558–70.

    Article  CAS  PubMed  Google Scholar 

  19. Li D, Zhang R, Zhang Q, Xu Z, Xu F, Li Y, et al. Clinical results of ear elevations in patients with microtia using skin grafts from three donor sites: a retrospective study. Aesthet Plast Surg. 2020;44(5):1545–52.

    Google Scholar 

  20. Yang M, Jiang H, Zhang Y, Pan B. A new method using tissue expander makes auricular reconstruction easier. Clin Otolaryngol. 2019;44(3):437–42.

    Article  PubMed  Google Scholar 

  21. Pan B, Jiang H, Guo D, Huang C, Hu S, Zhuang H. Microtia: ear reconstruction using tissue expander and autogenous costal cartilage. J Plast Reconstr Aesthet Surg. 2008;61:S98–103.

    Article  PubMed  Google Scholar 

  22. Wang Y, Zhuang X, Jiang H, Yang Q, Zhao Y, Han J, et al. The anatomy and application of the postauricular fascia flap in auricular reconstruction for congenital microtia. J Plast Reconstr Aesthet Surg. 2008;61:S70–6.

    Article  PubMed  Google Scholar 

  23. Xing W, Wang Y, Qian J, Wang B, Zhou X, Liu T, et al. Simultaneous bilateral Microtia reconstruction using single-expanded postauricular flap without skin grafting. Ann Plast Surg. 2018;81(6):669–74.

    Article  CAS  PubMed  Google Scholar 

  24. Tripathee S, Xiong M, Zhang J. Microtia ear reconstruction using tissue expander and autologous costal cartilage: our experience and comparing two age groups. World J Plast Surg. 2019;8(3):324.

    PubMed  PubMed Central  Google Scholar 

  25. Chen Q, Zhang J, Wang B, Wang Y, Kang C, Zhang Q. Total auricular reconstruction using a single extended postauricular flap without skin grafting in two stages: experiences of 106 cases. Aesthet Plast Surg. Switzerland, 2019;44(2):365–72.

    Google Scholar 

  26. Thorne CH, Brecht LE, Bradley JP, Levine JP, Hammerschlag P, Longaker MT. Auricular reconstruction: indications for autogenous and prosthetic techniques. Plast Reconstr Surg. 2001;107(5):1241–52.

    Article  CAS  PubMed  Google Scholar 

  27. Granström G, Bergström K, Odersjö M, Tjellström A. Osseointegrated implants in children: experience from our first 100 patients. Otolaryngol Head Neck Surg. 2001;125(1):85.

    Article  PubMed  Google Scholar 

  28. Klineberg I. Introduction: from osseointegration to osseoperception. The functional translation. Clin Exp Pharmacol Physiol. 2005;32(1–2):97–9.

    Article  PubMed  Google Scholar 

  29. Federspil PA. Auricular prostheses in microtia. Facial Plast Surg Clin North Am. 2018;26(1):97–104.

    Article  PubMed  Google Scholar 

  30. Tolman DE, Taylor PF. Bone-anchored craniofacial prosthesis study. Int J Oral Maxillofac Implants. 1996;11(2):159–68.

    CAS  PubMed  Google Scholar 

  31. Parel SM, Tjellströ A. The United States and Swedish experience with osseointegration and facial prostheses. Int J Oral Maxillofac Implants. 1991;6(1):75.

    CAS  PubMed  Google Scholar 

  32. Wolfaardt JF, Wilkes GH, Parel SM, Tjellström A. Craniofacial osseointegration: the Canadian experience. Int J Oral Maxillofac Implants. 1993;8(2):197.

    CAS  PubMed  Google Scholar 

  33. Lewin S. Complications after total porous implant ear reconstruction and their management. Facial Plast Surg. 2015;31(06):617–25.

    Article  CAS  PubMed  Google Scholar 

  34. Romo T, Presti PM, Yalamanchili HR. Medpor alternative for microtia repair. Facial Plast Surg Clin North Am. 2006;14(2):129–36.

    Article  PubMed  Google Scholar 

  35. Romo T, Reitzen SD. Aesthetic microtia reconstruction with Medpor. Facial Plast Surg. 2008;24(01):120–8.

    Article  CAS  PubMed  Google Scholar 

  36. Im DD, Paskhover B, Staffenberg DA, Jarrahy R. Current management of microtia: a national survey. Aesthet Plast Surg. 2013;37(2):402–8.

    Article  Google Scholar 

  37. Brent B. Auricular repair with autogenous rib cartilage grafts: two decades of experience with 600 cases. Plast Reconstr Surg. 1992;90(3):355–74; discussion 375–6.

    Article  CAS  PubMed  Google Scholar 

  38. Cabin JA, Bassiri-Tehrani M, Sclafani AP. Microtia reconstruction: autologous rib and alloplast techniques. Facial Plast Surg Clin North Am. 2014;22(4):623–38.

    Article  PubMed  Google Scholar 

  39. Kawanabe Y, Nagata S. A new method of costal cartilage harvest for total auricular reconstruction: part I. Avoidance and prevention of intraoperative and postoperative complications and problems. Plast Reconstr Surg. 2006;117(6):2011–8.

    Article  CAS  PubMed  Google Scholar 

  40. Cho BC, Kim JY, Byun JS. Two-stage reconstruction of the auricle in congenital microtia using autogenous costal cartilage. J Plast Reconstr Aesthet Surg. 2007;60(9):998–1006.

    Article  PubMed  Google Scholar 

  41. Zhang Q, Zhang R, Xu F, Jin P, Cao Y. Auricular reconstruction for microtia: personal 6-year experience based on 350 microtia ear reconstructions in China. Plast Reconstr Surg. 2009;123(3):849–58.

    Article  CAS  PubMed  Google Scholar 

  42. Kasrai L, Snyder-Warwick AK, Fisher DM. Single-stage autologous ear reconstruction for microtia. Plast Reconstr Surg. 2014;133(3):652–62.

    Article  CAS  PubMed  Google Scholar 

  43. Firmin F. Ear reconstruction in cases of typical microtia. Personal experience based on 352 microtic ear corrections. Scand J Plast Reconstr Surg Hand Surg. 1998;32(1):35–47.

    Article  CAS  PubMed  Google Scholar 

  44. Márquez-Gutiérrez EA, Gutiérrez-Gómez Del Hierro C, Rodríguez-Quintero JH, Pereyra-Arzate JE, Rivera-Martínez R. Descriptive analysis of the arterial supply to the auricle in patients with unilateral microtia. Plast Reconstr Surg Glob Open. 2017;5(12):e1594.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Olcott CM, Simon PE, Romo T III, Louie W. Anatomy of the superficial temporal artery in patients with unilateral microtia. J Plast Reconstr Aesthet Surg. 2019;72(1):114–8.

    Article  PubMed  Google Scholar 

  46. Bly RA, Bhrany AD, Murakami CS, Sie KC. Microtia reconstruction. Facial Plast Surg Clin North Am. 2016;24(4):577–91.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Mussi E, Furferi R, Volpe Y, Facchini F, McGreevy KS, Uccheddu F. Ear reconstruction simulation: from handcrafting to 3D printing. Bioengineering. 2019;6(1):14.

    Article  PubMed Central  Google Scholar 

  48. Fan X, Niu X, Wang Y, Chen Y, Fan Y, Wang J, et al. Comparison of three-dimensional and two-dimensional templates on auricle reconstruction in patients with unilateral microtia. Am J Transl Res. 2019;11(6):3771.

    PubMed  PubMed Central  Google Scholar 

  49. van Nunen DP, Kolodzynski MN, van den Boogaard M-JH, Kon M, Breugem CC. Microtia in the Netherlands: clinical characteristics and associated anomalies. Int J Pediatr Otorhinolaryngol. 2014;78(6):954–9.

    Article  PubMed  Google Scholar 

  50. Ishikura N, Kawakami S, Yoshida J, Shimada K. Vascular supply of the subcutaneous pedicle of Nagata’s method in microtia reconstruction. Br J Plast Surg. 2004;57(8):780–4.

    Article  CAS  PubMed  Google Scholar 

  51. Hongo T, Komune N, Shimamoto R, Nakagawa T. The surgical anatomy of soft tissue layers in the mastoid region. Laryngoscope Investig Otolaryngol. 2019;4(3):359–64.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Jimenez F, Izeta A, Poblet E. Morphometric analysis of the human scalp hair follicle: practical implications for the hair transplant surgeon and hair regeneration studies. Dermatol Surg. 2011;37(1):58–64.

    Article  CAS  PubMed  Google Scholar 

  53. Goldsztein H, Ort S, Roberson JB Jr, Reinisch J. Scalp as split thickness skin graft donor site for congenital atresia repair. Laryngoscope. 2013;123(2):496–8.

    Article  PubMed  Google Scholar 

  54. Davidge KM, van Furth WR, Agur A, Cusimano M. Naming the soft tissue layers of the temporoparietal region: unifying anatomic terminology across surgical disciplines. Operative Neurosurgery. 2010;67(3):ons120–3.

    Google Scholar 

  55. Stephan S, Reinisch J. Auricular reconstruction using porous polyethylene implant technique. Facial Plast Surg Clin North Am. 2018;26(1):69–85.

    Article  PubMed  Google Scholar 

  56. Helling ER, Okoro S, George Kim II, Wang PT. Endoscope-assisted temporoparietal fascia harvest for auricular reconstruction. Plast Reconstr Surg. 2008;121(5):1598–605.

    Article  CAS  PubMed  Google Scholar 

  57. Park C, Lew D-H, Yoo W-M. An analysis of 123 temporoparietal fascial flaps: anatomic and clinical considerations in total auricular reconstruction. Plast Reconstr Surg. 1999;104(5):1295–306.

    Article  CAS  PubMed  Google Scholar 

  58. Kim YS, Yun IS, Chung S. Salvage of ear framework exposure in total auricular reconstruction. Ann Plast Surg. 2017;78(2):178–83.

    Article  CAS  PubMed  Google Scholar 

  59. Hirase Y, Kojima T, Hirakawa M. Secondary ear reconstruction using deep temporal fascia after temporoparietal fascial reconstruction in microtia. Ann Plast Surg. 1990;25(1):53–7.

    Article  CAS  PubMed  Google Scholar 

  60. Li Y, Zhang R, Zhang Q, Xu Z, Xu F, Li D. An alternative posterosuperior auricular fascia flap for ear elevation during microtia reconstruction. Aesthet Plast Surg. 2017;41(1):47–55.

    Article  CAS  Google Scholar 

  61. Maeda T, Oyama A, Funayama E, Yamamoto Y. Reconstruction of low hairline microtia of Treacher Collins syndrome with a hinged mastoid fascial flap. Int J Oral Maxillofac Surg. 2016;45(6):731–4.

    Article  CAS  PubMed  Google Scholar 

  62. Ou L-F, Yan R-S, Tang Y-W. Firm elevation of the auricle in reconstruction of microtia with a retroauricular fascial flap wrapping an autogenous cartilage wedge. Br J Plast Surg. 2001;54(7):573–80.

    Article  CAS  PubMed  Google Scholar 

  63. Yoshimura K, Nakatsuka T, Ichioka S, Kaji N, Harii K. One-stage reconstruction of an upper part defect of the auricle. Aesthet Plast Surg. 1998;22(5):352–5.

    Article  CAS  Google Scholar 

  64. Lohasammakul S, Turbpaiboon C, Chompoopong S, Ratanalekha R, Aojanepong C. Vascular nature and existence of anastomoses of extrinsic postauricular fascia: application for staged auricular reconstruction. Ann Plast Surg. 2017;78(6):723–7.

    Article  CAS  PubMed  Google Scholar 

  65. Reinisch JF, Tahiri Y, Yao CA. The occipital artery–based fascial flap for ear reconstruction. Plast Reconstr Surg. 2019;143(3):592e–601e.

    Article  CAS  PubMed  Google Scholar 

  66. Bonilla A. Pediatric microtia reconstruction with autologous rib: personal experience and technique with 1000 pediatric patients with microtia. Facial Plast Surg Clin North Am. 2018;26(1):57–68.

    Article  PubMed  Google Scholar 

  67. O’Brien JX, Ashton MW, Rozen WM, Ross R, Mendelson BC. New perspectives on the surgical anatomy and nomenclature of the temporal region: literature review and dissection study. Plast Reconstr Surg. 2013;131(3):510–22.

    Article  PubMed  CAS  Google Scholar 

  68. Berghaus A, Toplak F. Surgical concepts for reconstruction of the auricle: history and current state of the art. Arch Otolaryngol Head Neck Surg. 1986;112(4):388–97.

    Article  CAS  PubMed  Google Scholar 

  69. Zhao Y, Wang Y, Zhuang H, Jiang H, Jiang W, Hu X, et al. Clinical evaluation of three total ear reconstruction methods. J Plast Reconstr Aesthet Surg. 2009;62(12):1550–4.

    Article  PubMed  Google Scholar 

  70. Zhang T, Bulstrode N, Chang KW, Cho Y-S, Frenzel H, Jiang D, et al. International consensus recommendations on microtia, aural atresia and functional ear reconstruction. J Int Adv Otol. 2019;15(2):204.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Baluch N, Nagata S, Park C, Wilkes GH, Reinisch J, Kasrai L, et al. Auricular reconstruction for microtia: a review of available methods. Plast Surg (Oakv). 2014;22(1):39–43.

    Article  Google Scholar 

  72. Johns AL, Lucash RE, Im DD, Lewin SL. Pre and post-operative psychological functioning in younger and older children with microtia. J Plast Reconstr Aesthet Surg. 2015;68(4):492–7.

    Article  PubMed  Google Scholar 

  73. Adamson JE, Hortox CE, Crawford HH. The growth pattern of the external ear. Plast Reconstr Surg. 1965;36(4):466–70.

    Article  CAS  PubMed  Google Scholar 

  74. Reinisch J, Tahiri Y. Polyethylene ear reconstruction: a state-of-the-art surgical journey. Plast Reconstr Surg. 2018;141(2):461–70.

    Article  CAS  PubMed  Google Scholar 

  75. Louis PJ, Aponte-Wesson RA, Fernandes RP, Clemow J. Autogenous and prosthetic reconstruction of the ear. Oral Maxillofac Surg Clin North Am. 2013;25(2):271–86.

    Article  PubMed  Google Scholar 

  76. Korus LJ, Wong JN, Wilkes GH. Long-term follow-up of osseointegrated auricular reconstruction. Plast Reconstr Surg. 2011;127(2):630–6.

    Article  CAS  PubMed  Google Scholar 

  77. Wolfaardt J, Gehl G, Farmand M, Wilkes G. Indications and methods of care for aspects of extraoral osseointegration. Int J Oral Maxillofac Surg. 2003;32(2):124–31.

    Article  CAS  PubMed  Google Scholar 

  78. Chang T-L, Garrett N, Roumanas E, Beumer J III. Treatment satisfaction with facial prostheses. J Prosthet Dent. 2005;94(3):275–80.

    Article  PubMed  Google Scholar 

  79. Littlefield PD, Tolisano AM, Sabol JV, Herberg ME, Coppit GL III. Total auricular rehabilitation: combined cosmetic and functional lateral temporal bone reconstruction. J Craniofac Surg. 2015;26(5):1467–70.

    Article  PubMed  Google Scholar 

  80. Visser A, Raghoebar GM, van Oort RP, Vissink A. Fate of implant-retained craniofacial prostheses: life span and aftercare. Int J Oral Maxillofac Implants. 2008;23(1):89.

    PubMed  Google Scholar 

  81. Hatamleh MM, Haylock C, Watson J, Watts DC. Maxillofacial prosthetic rehabilitation in the UK: a survey of maxillofacial prosthetists’ and technologists’ attitudes and opinions. Int J Oral Maxillofac Surg. 2010;39(12):1186–92.

    Article  CAS  PubMed  Google Scholar 

  82. Reitemeier B, Götzel B, Schöne C, Stockmann F, Müller R, Lexmann J, et al. Creation and utilization of a digital database for nasal prosthesis models. Oncol Res Treat. 2013;36(1–2):7–11.

    Google Scholar 

  83. Capon T. Standardised anatomical alignment of the head in a clinical photography studio. A comparison between the Frankfort Horizontal and the natural head position. J Vis Commun Med. 2016;39(3–4):105–11.

    Article  PubMed  Google Scholar 

  84. Rhee SC. A simple method for international standardization of photographic documentation for aesthetic plastic surgery. Aesthet Plast Surg. 2017;41(2):461–5.

    Article  Google Scholar 

  85. Salazar-Gamarra R, Seelaus R, da Silva JVL, da Silva AM, Dib LL. Monoscopic photogrammetry to obtain 3D models by a mobile device: a method for making facial prostheses. J Otolaryngol Head Neck Surg. 2016;45(1):1–13.

    Article  Google Scholar 

  86. Deli R, Galantucci LM, Laino A, D’Alessio R, Di Gioia E, Savastano C, et al. Three-dimensional methodology for photogrammetric acquisition of the soft tissues of the face: a new clinical-instrumental protocol. Prog Orthod. 2013;14(1):32.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Unkovskiy A, Spintzyk S, Brom J, Huettig F, Keutel C. Direct 3D printing of silicone facial prostheses: a preliminary experience in digital workflow. J Prosthet Dent. 2018;120(2):303–8.

    Article  CAS  PubMed  Google Scholar 

  88. Nuseir A, Hatamleh MM, Alnazzawi A, Al-Rabab’ah M, Kamel B, Jaradat E. Direct 3D printing of flexible nasal prosthesis: optimized digital workflow from scan to fit. J Prosthodont. 2019;28(1):10–4.

    Article  PubMed  Google Scholar 

  89. Coward TJ, Seelaus R, Li SY. Computerized color formulation for African-Canadian people requiring facial prostheses: a pilot study. J Prosthodont. 2008;17(4):327–35.

    Article  CAS  PubMed  Google Scholar 

  90. Seelaus R, Coward TJ, Li S. Coloration of silicone prostheses: technology versus clinical perception. Is there a difference? Part 2, clinical evaluation of a pilot study. J Prosthodont. 2011;20(1):67–73.

    Article  PubMed  Google Scholar 

  91. Steffen A, Klaiber S, Katzbach R, Nitsch S, König IR, Frenzel H. The psychosocial consequences of reconstruction of severe ear defects or third-degree microtia with rib cartilage. Aesthet Surg J. 2008;28(4):404–11.

    Article  PubMed  Google Scholar 

  92. Steffen A, Wollenberg B, König IR, Frenzel H. A prospective evaluation of psychosocial outcomes following ear reconstruction with rib cartilage in microtia. J Plast Reconstr Aesthet Surg. 2010;63(9):1466–73.

    Article  PubMed  Google Scholar 

  93. Albrektsson T, Johansson C. Osteoinduction, osteoconduction and osseointegration. Eur Spine J. 2001;10(2):S96–101.

    PubMed  PubMed Central  Google Scholar 

  94. Granström G. Craniofacial osseointegration. Oral Dis. 2007;13(3):261–9.

    Article  PubMed  Google Scholar 

  95. Wolfaardt JF, Wilkes GH. Craniofacial osseointegration. J Can Dent Assoc. 1994;60(9):805–9.

    CAS  PubMed  Google Scholar 

  96. Schoen PJ, Raghoebar GM, van Oort RP, Reintsema H, van der Laan BF, Burlage FR, et al. Treatment outcome of bone-anchored craniofacial prostheses after tumor surgery. Cancer. 2001;92(12):3045–50.

    Article  CAS  PubMed  Google Scholar 

  97. Kruyt IJ, Nelissen RC, Mylanus EA, Hol MK. Three-year outcomes of a randomized controlled trial comparing a 4.5-mm-wide to a 3.75-mm-wide titanium implant for bone conduction hearing. Otol Neurotol. 2018;39(5):609.

    Article  PubMed  PubMed Central  Google Scholar 

  98. Nelissen RC, den Besten CA, Faber HT, Dun CA, Mylanus EA, Hol MK. Loading of osseointegrated implants for bone conduction hearing at 3 weeks: 3-year stability, survival, and tolerability. Eur Arch Otorhinolaryngol. 2016;273(7):1731–7.

    Article  PubMed  Google Scholar 

  99. Miller KL, Faulkner G, Wolfaardt JF. Misfit and functional loading of craniofacial implants. Int J Prosthodont. 2004;17(3):267.

    PubMed  Google Scholar 

  100. Faulkner G, Wolfaardt J, del Valle V. Console abutment loading in craniofacial osseointegration. Int J Oral Maxillofac Implants. 1998;13(2):245–52.

    CAS  PubMed  Google Scholar 

  101. Jacobs R, Salmon B, Codari M, Hassan B, Bornstein MM. Cone beam computed tomography in implant dentistry: recommendations for clinical use. BMC Oral Health. 2018;18(1):1–16.

    Article  Google Scholar 

  102. Hatamleh M, Turner C, Bhamrah G, Mack G, Osher J. Improved virtual planning for bimaxillary orthognathic surgery. J Craniofac Surg. 2016;27(6):e568–73.

    Article  PubMed  Google Scholar 

  103. Chepelev L, Wake N, Ryan J, Althobaity W, Gupta A, Arribas E, et al. Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios. 3D Print Med. 2018;4(1):1–38.

    Article  Google Scholar 

  104. Giannopoulos AA, Pietila T. Post-processing of DICOM images. In: 3D printing in medicine. Cham, Switzerland: Springer; 2017. p. 23–34.

    Chapter  Google Scholar 

  105. Verma S, Gonzalez M, Schow SR, Triplett RG. Virtual preoperative planning and intraoperative navigation in facial prosthetic reconstruction: a technical note. Int J Oral Maxillofac Implants. 2017;32(2):e77.

    Article  PubMed  Google Scholar 

  106. Verma SN, Schow SR, Stone BH, Triplett RG. Applications of surgical navigational systems for craniofacial bone-anchored implant placement. Int J Oral Maxillofac Implants. 2010;25(3):582.

    PubMed  Google Scholar 

  107. Tjellström A, Stalfors J, Bergström K. Cochlear vistafix, treatment and surgery guide [Internet]. 2012.; Available from: www.CochlearAmericas.com.

  108. Rebol J. Soft tissue reactions in patients with bone anchored hearing aids. Ir J Med Sci (1971-). 2015;184(2):487–91.

    Article  CAS  Google Scholar 

  109. Kincade C, McHutchion L, Wolfaardt J. Digital design of patient-specific abutments for the retention of implant-retained facial prostheses. J Prosthet Dent. 2018;120(2):309–12.

    Article  PubMed  Google Scholar 

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Acknowledgments

Special thanks to graphic artist Alinna Brigitte Diaz-Porro for her careful drawings demonstrating the approach to different grades of microtia for autologous auricular reconstruction.

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Correspondence to Tania Kraai .

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Kraai, T., Vandenberg, K., Lewin, S., Seelaus, R. (2022). Microtia Reconstruction in Patients with Craniofacial Microsomia. In: Yates, D.M., Markiewicz, M.R. (eds) Craniofacial Microsomia and Treacher Collins Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-030-84733-3_10

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