{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T04:46:49Z","timestamp":1782449209163,"version":"3.54.5"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"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":[[2026,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In microtia reconstruction, surgeons must identify the various qualities of costal cartilage that can be used to create the nuances of the antihelical complex of the new auricular construct.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the techniques for antihelical complex fabrication among microtia patients undergoing two-stage ear reconstruction with autogenous cartilage based on different characteristics of autologous cartilage, as measured by photograph analysis and patient survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a retrospective chart of patients undergoing microtia reconstruction using autogenous rib cartilage from 2017 to 2023. Reconstructed auricles were evaluated by three blinded expert graders using a satisfaction rating of 1\u201310. Patient surveys were collected (ear size, location, symmetry, and duplication of the reconstructed ear and possible complications).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Overall, 529 patients were included with a male preponderance (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 357\/529, 68%) with a mean age of 13.91 \u00b1 6.34 (range: 6\u201339 years). Mean follow-up was 18.28 \u00b1 7.53 months (range: 10\u201336 months). Complications (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 36) were reported, which included flap congestion (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12), skin necrosis, and cartilage exposure (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 9). Photograph review showed a mean score of 9.01 \u00b1 0.42 (range: 8.51\u20139.53). Patient satisfaction scores were 9.47 \u00b1 0.31 (range: 8.90\u20139.81).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgeons can properly create the antihelical complex in autologous costal cartilage framework.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2024.0363","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T05:04:07Z","timestamp":1745384647000},"page":"54-60","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Strategies for Surgical Refinement of the Antihelical Complex Using Autologous Costal Cartilage in Auricular Reconstruction for Microtia"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0855-3534","authenticated-orcid":false,"given":"Zhicheng","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai 9th People\u2019s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiyuan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai 9th People\u2019s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Datao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai 9th People\u2019s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruhong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai 9th People\u2019s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai 9th People\u2019s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai 9th People\u2019s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai 9th People\u2019s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,23]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197106000-00001"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199908000-00001"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00001"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200012000-00005"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/02844319850158930"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318199f057"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2018.05.036"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2020.11.042"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-95613-3"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006043"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003375"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-17007-3"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2001.3646"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000129"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000250"}],"container-title":["Facial Plastic Surgery &amp; 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