{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:32:36Z","timestamp":1787934756333,"version":"build-2784847793"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T00:00:00Z","timestamp":1688515200000},"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":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2023,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Auricular reconstruction techniques most frequently utilize either autologous costal cartilage or alloplastic porous polyethylene (PPE) implant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To compare the aesthetic outcomes, number of surgeries, and complications in children who underwent microtia reconstruction with either rib or PPE implant by blinded photograph review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective cohort study included consecutive pediatric patients who underwent auricular reconstruction with either autologous cartilage or PPE between November 2017 and February 2022. Blinded observers rated each postoperative ear through a web-based survey. Data on patient characteristics, operative time, length of admission, and complications were collected, bivariate analyses were performed using chi-square or Fisher's exact tests for categorical variables and Wilcoxon rank-sum test for continuous variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Forty-four ears were included, 28 of which (63.6%) were reconstructed with cartilage. Median patient age was 8 years (range 4\u201318 years) and 29 (65.9%) were male. The cartilage group had more surgeries (median 2.5 vs. 1.0,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and total operating time across all surgeries did not differ significantly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The two groups in our study had similar rates of complications and aesthetic scores, and aesthetic scores were worse for ears with wound complications requiring unplanned revisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2022.0406","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T14:22:50Z","timestamp":1682086970000},"page":"290-295","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Dual Option Microtia Clinic: A Comparison of Outcomes in Microtia Reconstruction Using Autologous Rib or Porous Polyethylene Implant"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5391-3709","authenticated-orcid":false,"given":"Marta","family":"Kulich","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Otolaryngology\u2013Head and Neck Surgery, Children's Hospital of Los Angeles, Los Angeles, California, USA."},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay A.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Rady Children's Hospital\u2013San Diego, San Diego, California, USA."},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery, Department of Surgery, University of California San Diego, La Jolla, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panteha Hayati","family":"Rezvan","sequence":"additional","affiliation":[{"name":"Biostatistics and Data Analysis Core, The Saban Research Institute, Children's Hospital of Los Angeles, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2774-3229","authenticated-orcid":false,"given":"Beth","family":"Osterbauer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Otolaryngology\u2013Head and Neck Surgery, Children's Hospital of Los Angeles, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kochhar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Otolaryngology\u2013Head and Neck Surgery, Children's Hospital of Los Angeles, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Gomez","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Otolaryngology\u2013Head and Neck Surgery, Children's Hospital of Los Angeles, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.34352"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.3109\/03005369909090114"},{"issue":"6","key":"e_1_3_5_4_2","first-page":"383","article-title":"[Psychological status of congenital microtia patients and relative influential factors: analysis of 410 cases]","volume":"87","author":"Du J-M","year":"2007","unstructured":"Du J-M, , Zhuang H-X, , Chai J-K, et al. [Psychological status of congenital microtia patients and relative influential factors: analysis of 410 cases]. Zhonghua Yi Xue Za Zhi. 2007; 87(6):383\u2013387.","journal-title":"Zhonghua Yi Xue Za Zhi"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.12.019"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199908000-00001"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00001"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1239448"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000008130"},{"issue":"12","key":"e_1_3_5_10_2","first-page":"1173","article-title":"Allograftic and alloplastic auricular reconstruction","volume":"21","author":"Habiballah JA","year":"2000","unstructured":"Habiballah JA, , Bamousa A. Allograftic and alloplastic auricular reconstruction. Saudi Med J. 2000; 21(12):1173\u20131177.","journal-title":"Saudi Med J"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2019.01.013"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2014.30"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211018382"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000839"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1569061"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2008.07.009"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2021.08.004"},{"key":"e_1_3_5_20_2","author":"Tolba M","unstructured":"Tolba M, , Qian ZJ, , Lin H-F, et al. 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