{"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":1789555923576,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"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":["KL2 TR001862"],"award-info":[{"award-number":["KL2 TR001862"]}],"id":[{"id":"10.13039\/100006108","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":[[2026,5]]},"abstract":"\n \n Objective<\/jats:italic>\n <\/jats:title>\n To compare the use of porous polyethylene implants versus autologous reconstruction for ear reconstruction in patients with microtia or anotia.<\/jats:p>\n <\/jats:sec>\n \n \n Design<\/jats:italic>\n <\/jats:title>\n Retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n \n Setting<\/jats:italic>\n <\/jats:title>\n Hospitals included in the American College of Surgeons National Surgical Quality Improvement Project\u2014Pediatrics, between 2016 and 2022.<\/jats:p>\n <\/jats:sec>\n \n \n Patients<\/jats:italic>\n <\/jats:title>\n Children with diagnoses of microtia or anotia.<\/jats:p>\n <\/jats:sec>\n \n \n Interventions<\/jats:italic>\n <\/jats:title>\n Ear reconstruction utilizing either a porous-polyethylene implant or autologous reconstruction.<\/jats:p>\n <\/jats:sec>\n \n \n Main Outcome Measures<\/jats:italic>\n <\/jats:title>\n Rates of wound complication, hospital readmission, reoperation, and hospital lengths-of-stay within 30 days of index surgery.<\/jats:p>\n <\/jats:sec>\n \n \n Results<\/jats:italic>\n <\/jats:title>\n There were 986 patients meeting inclusion criteria, including 893 receiving autograft and 93 receiving synthetic implant. Complication rates, including wound complication, dehiscence, and surgical site infection are similar between the 2 cohorts, though deep surgical site infections are more frequent in patients receiving implant reconstruction.<\/jats:p>\n Patients receiving implant reconstruction have a 4-fold higher odds of hospital readmission and a 9-fold higher odds of reoperation within 30 days after controlling for patient characteristics and surgeon specialty. Patients receiving implant reconstruction also have shorter hospital lengths-of-stay.<\/jats:p>\n <\/jats:sec>\n \n \n Conclusions<\/jats:italic>\n <\/jats:title>\n Ear reconstruction using autologous cartilage provides better 30-day outcomes compared to implant-based reconstruction with respect to rates of reoperation and readmission. However, these differences may be reflective more of limited surgeon experience with using synthetic implants than of the best possible outcomes achievable with each technique.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10556656251324259","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T17:34:03Z","timestamp":1742319243000},"page":"1085-1089","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Microtia Reconstruction: 30-Day Outcomes for Autograft Versus Implant Reconstruction in a National Surgical Database"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5263-2718","authenticated-orcid":false,"given":"Kevin Gao","family":"Hu","sequence":"first","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Ihnat","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy A.","family":"Goss","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Allam","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Parikh","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Salib","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Aral","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5093-5790","authenticated-orcid":false,"given":"Michael","family":"Alperovich","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"StatPearls","author":"Andrews J","year":"2024","unstructured":"Andrews J, Kopacz AA, Hohman MH. Ear microtia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. Accessed May 13, 2024. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK563243\/"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-010-9502-1"},{"issue":"1","key":"e_1_3_2_4_2","article-title":"An investigation of psychological profiles and risk factors in congenital microtia patients","volume":"61","author":"Jiamei D","year":"2008","unstructured":"Jiamei D, Jiake C, Hongxing Z, Wanhou G, Yan W, Gaifen L. An investigation of psychological profiles and risk factors in congenital microtia patients. J Plast Reconstr Aesthet Surg. 2008;61(Suppl 1):S37\u2010S43.","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000155284.96308.32"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00001"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1288917"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1239448"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221132034"},{"key":"e_1_3_2_10_2","unstructured":"MEDPOR. Accessed May 14 2024. https:\/\/www.stryker.com\/us\/en\/craniomaxillofacial\/systems\/medpor.html"},{"key":"e_1_3_2_11_2","unstructured":"SYNPORTM Porous Polyethylene Implants | DePuy Synthes. J&J MedTech. Accessed May 14 2024. https:\/\/www.jnjmedtech.com\/en-US\/product\/synpor-porous-polyethylene-implants"},{"issue":"6","key":"e_1_3_2_12_2","article-title":"Reconstruction of congenital microtia and anotia: analysis of practitioner epidemiology and postoperative outcomes","volume":"7","author":"Cuccolo NG","year":"2019","unstructured":"Cuccolo NG, Zwierstra MJ, Ibrahim AMS, Peymani A, Afshar S, Lin SJ. Reconstruction of congenital microtia and anotia: analysis of practitioner epidemiology and postoperative outcomes. Plast Reconstr Surg Glob Open. 2019;7(6):e2318.","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.2155"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2017.089"},{"key":"e_1_3_2_15_2","article-title":"Reconstructive techniques in pediatric congenital microtia: a systematic review and meta-analysis","author":"Kim HAJ","year":"2024","unstructured":"Kim HAJ, Namavarian A, Khan U, Levy BB, Ziai H, Talei B, Gantous A. Reconstructive techniques in pediatric congenital microtia: a systematic review and meta-analysis. Facial Plast Surg. 2024. doi:https:\/\/doi.org\/10.1055\/a-2247-5109. 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