{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:17:05Z","timestamp":1772990225624,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:00:00Z","timestamp":1760140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:00:00Z","timestamp":1760140800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyze which patient and surgeon factors impacted aesthetic outcomes in alloplastic microtia reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Retrospective cohort study was conducted of a single microtia team at an academic tertiary care children's hospital. Consecutive patients who underwent porous polyethylene (\n                      <jats:styled-content style=\"fixed-case\">PPE<\/jats:styled-content>\n                      ) microtia reconstruction between October 2020 and September 2023 were retrospectively included in the study. Data including demographics, height, and weight, microtia grade, complications, and surgeon experience was collected. Reviewers (otolaryngology residents) blinded to surgical details provided an aesthetic score for each postoperative ear photograph through a web\u2010based survey.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010one subjects undergoing primary microtia reconstruction were included: mean age was 9.5\u2009years (range 4\u201318\u2009years), and 24 (47%) were female. Post\u2010operative photographs were taken an average of 23\u2009weeks following surgery (range 8\u201342\u2009weeks). Younger age was correlated with better aesthetic outcomes (coef. \u22120.8,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). In a linear regression model controlling for age and sex, both BMI z\u2010score &gt;\u20091.0 (\u22126.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) and need for revision surgery (\u22129.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) were significantly associated with lower mean cosmetic scores. Mean aesthetic scores increased with surgical experience, but the trend was not statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Certain patient characteristics such as younger age, normal BMI, and uncompromised wound healing were strongly associated with improved aesthetic results in alloplastic microtia reconstruction. Increasing surgeon experience may contribute to improved aesthetic outcomes. These findings can be used to counsel families and help predict results after alloplastic microtia reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70174","type":"journal-article","created":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:37:18Z","timestamp":1760179038000},"page":"1233-1239","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing Microtia Results in Alloplastic Ear Reconstruction"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5391-3709","authenticated-orcid":false,"given":"Marta","family":"Kulich","sequence":"first","affiliation":[{"name":"Division of Otolaryngology \u2013 Head and Neck Surgery Children's Hospital of Los Angeles  Los Angeles California USA"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2774-3229","authenticated-orcid":false,"given":"Beth A.","family":"Osterbauer","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology \u2013 Head and Neck Surgery Children's Hospital of Los Angeles  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Arom","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology \u2013 Head and Neck Surgery Children's Hospital of Los Angeles  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Kochhar","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology \u2013 Head and Neck Surgery Children's Hospital of Los Angeles  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Gomez","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology \u2013 Head and Neck Surgery Children's Hospital of Los Angeles  Los Angeles California 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