{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:52:03Z","timestamp":1789555923581,"version":"build-2803163510"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T00:00:00Z","timestamp":1665446400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR002345"],"award-info":[{"award-number":["UL1 TR002345"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Washington University Institute of Clinical and Translational Sciences Just-In-Time grant","award":["720S"],"award-info":[{"award-number":["720S"]}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R24 HS19455"],"award-info":[{"award-number":["R24 HS19455"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the frequency of autologous and alloplastic ear reconstructions for patients with microtia in the United States, and describe post-index procedure rates associated with each method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Claims data from 500\u2009+\u2009hospitals from IBM\u00ae MarketScan\u00ae Commercial and Multi-State Medicaid databases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients\/Participants<\/jats:title>\n                    <jats:p>A total of 649 patients aged 1 to 17 years with International Classification of Diseases, ninth\/tenth revision (ICD-9\/10) diagnoses for microtia, congenital absence of the ear, or hemifacial microsomia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Alloplastic or autologous ear reconstruction between 2006 and 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>Post-index procedures performed within 1 year following the index repair, analyzed across the study period and separately for each half of the study period (2006-2012, 2012-2018).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 486 (75%) qualifying patients received autologous and 163 (25%) received alloplastic reconstruction. Secondary procedure rates were significantly higher in the autologous group at 90 days ( P\u2009=\u2009.034), 180 days ( P &lt; .001), and at 365 days ( P &lt; .001). Alloplastic reconstruction accounted for 23.2% of reconstructions in the first half of the study period compared with 26.7% in the second half ( P\u2009=\u2009.319). One-year secondary procedure rates in the autologous group were not significantly different between both halves of the study period (69.7% vs 67.1%, P\u2009=\u2009.558), but were significantly lower in the second half for the alloplastic group (44.9% vs 20.2%, P\u2009=\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In these databases, autologous reconstruction is more common than alloplastic reconstruction. Autologous reconstruction is staged, with most undergoing a secondary procedure between 3 months and 1 year postoperatively. Secondary procedure rates decreased over time in patients undergoing alloplastic reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221132034","type":"journal-article","created":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T03:09:50Z","timestamp":1665457790000},"page":"365-372","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Porous Polyethylene Versus Autologous Costochondral Reconstruction for Microtia: Incidence and Analysis of Secondary Procedures"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2093-5298","authenticated-orcid":false,"given":"Kaamya","family":"Varagur","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6098-1929","authenticated-orcid":false,"given":"Ema","family":"Zubovic","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1138-5201","authenticated-orcid":false,"given":"Gary B.","family":"Skolnick","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Buss","sequence":"additional","affiliation":[{"name":"Institute of Clinical and Translational Sciences, Division of Infectious Diseases, Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Snyder-Warwick","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Reinisch","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7441-2102","authenticated-orcid":false,"given":"Kamlesh B.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,11]]},"reference":[{"key":"bibr1-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-92483-5_3"},{"key":"bibr2-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/15.3.364"},{"key":"bibr3-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.33.10.809"},{"key":"bibr4-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-010-9502-1"},{"key":"bibr5-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.12.019"},{"key":"bibr6-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2014.07.004"},{"key":"bibr7-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e328355b1d9"},{"key":"bibr8-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1603959"},{"key":"bibr9-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-195901000-00001"},{"key":"bibr10-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199209000-00001"},{"key":"bibr11-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(01)00013-X"},{"key":"bibr12-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00001"},{"key":"bibr13-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200207000-00041"},{"key":"bibr14-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000063"},{"key":"bibr15-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002213"},{"key":"bibr16-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1177\/229255031402200102"},{"key":"bibr17-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2017.09.009"},{"key":"bibr18-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-194809000-00008"},{"key":"bibr19-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2006.01.006"},{"key":"bibr20-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2021.08.004"},{"key":"bibr21-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.07.006"},{"key":"bibr22-10556656221132034","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2012.751027"},{"key":"bibr23-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2016.10.023"},{"key":"bibr24-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2014.30"},{"key":"bibr25-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2021.08.001"},{"key":"bibr26-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0144"},{"key":"bibr27-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1568138"},{"key":"bibr28-10556656221132034","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2021"},{"issue":"6","key":"bibr29-10556656221132034","volume":"7","author":"Cuccolo NG","year":"2019","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"bibr30-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-012-0008-x"},{"key":"bibr31-10556656221132034","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2020.12.064"},{"key":"bibr32-10556656221132034","unstructured":"Health Insurance Coverage of the Total Population. KFF. 2020. Accessed September 8, 2022. https:\/\/www.kff.org\/other\/state-indicator\/total-population\/"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656221132034","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656221132034","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656221132034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:20:45Z","timestamp":1777393245000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656221132034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,11]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1177\/10556656221132034"],"URL":"https:\/\/doi.org\/10.1177\/10556656221132034","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,11]]}}}