{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:38:09Z","timestamp":1777642689719,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,9,1]],"date-time":"2013-09-01T00:00:00Z","timestamp":1377993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JAMA Facial Plast Surg"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Transforming a block of costal cartilage into a complex 3-dimensional framework that reflects the contours of a normal ear or nasal bridge requires the creation of many subtle curves, concavities, and convexities. Thus, specialized instruments for microtia repair and rhinoplasty, with specifically curved sharp blades, are used for delicate carving without the need for excessive force, which can damage the framework. Several challenges are associated with these specialized instruments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe a novel alternate technique using disposable skin punch biopsy instruments for sculpting cartilage, which have the potential to decrease cost, ensure consistently sharp blades, and provide a variety of sizes to allow precise, controlled contour changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Surgical technique adapting a commercially available skin punch tool for costocondral sculpting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Academic tertiary care medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patients undergoing microtia repair and rhinoplasty requiring sculpting of costocondral cartilage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>Feasibility and reliability of cartilage contouring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This novel technique has been used in microtia repair and rhinoplasty with excellent results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>This alternate technique of costocondral sculpting should be included as an additional tool in the reconstructive surgeon\u2019s armamentarium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/archfaci.jamanetwork.com\/public\/instructionsForAuthors.aspx#SecLevelofEvidence\">NA<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/jamafacial.2013.1307","type":"journal-article","created":{"date-parts":[[2013,6,13]],"date-time":"2013-06-13T18:31:24Z","timestamp":1371148284000},"page":"349-351","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["A Novel Technique for Sculpting Costal Cartilage in Microtia Repair and Rhinoplasty"],"prefix":"10.1177","volume":"15","author":[{"given":"Linda N.","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kofi D.","family":"Boahene","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,9,19]]},"reference":[{"issue":"1","key":"e_1_3_1_2_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00006534-198007000-00001","article-title":"The correction of microtia with autogenous cartilage grafts, I: the classic deformity?","volume":"66","author":"Brent B","year":"1980","unstructured":"Brent B. The correction of microtia with autogenous cartilage grafts, I: the classic deformity?. Plast Reconstr Surg. 1980; 66(1):1-12. 7394028","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"e_1_3_1_3_2","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1097\/00006534-198007000-00002","article-title":"The correction of microtia with autogenous cartilage grafts, II: atypical and complex deformities.","volume":"66","author":"Brent B","year":"1980","unstructured":"Brent B. The correction of microtia with autogenous cartilage grafts, II: atypical and complex deformities. Plast Reconstr Surg. 1980; 66(1):13-21. 6994145","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"e_1_3_1_4_2","first-page":"371","article-title":"Total auricular reconstruction with a three-dimensional costal cartilage framework.","volume":"40","author":"Nagata S","year":"1995","unstructured":"Nagata S. Total auricular reconstruction with a three-dimensional costal cartilage framework. Ann Chir Plast Esthet. 1995; 40(4):371-403. 8561450","journal-title":"Ann Chir Plast Esthet"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00001"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20836"}],"updated-by":[{"DOI":"10.1001\/jamafacial.2013.1265","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2013,9,19]],"date-time":"2013-09-19T00:00:00Z","timestamp":1379548800000}}],"container-title":["JAMA Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1001\/jamafacial.2013.1307","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1001\/jamafacial.2013.1307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1001\/jamafacial.2013.1307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:23:50Z","timestamp":1777443830000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1001\/jamafacial.2013.1307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1001\/jamafacial.2013.1307"],"URL":"https:\/\/doi.org\/10.1001\/jamafacial.2013.1307","relation":{},"ISSN":["2168-6076","2168-6092"],"issn-type":[{"value":"2168-6076","type":"print"},{"value":"2168-6092","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9]]}}}