{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T21:48:33Z","timestamp":1782510513702,"version":"3.54.5"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"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":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluated the incidence, frequency, types, and risk factors of complications following staged autologous costal cartilage reconstruction for microtia at an academic hospital in Surabaya, Indonesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective descriptive study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Academic hospital in Surabaya, Indonesia, serving as a national referral center for microtia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Medical records of 122 unique patients with microtia who underwent autologous costal cartilage reconstruction between January 2014 and December 2024 were reviewed. Patients with incomplete records were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Two-stage autologous microtia reconstruction using a costal cartilage framework. Stage-2 elevation was performed using either a temporoparietal fascia flap (TPF) or retroauricular fascial flap (RFF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Incidence and type of postoperative complications involving the reconstructed ear, donor site, and neck.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Postoperative complications occurred in 38 of 122 patients (31.1%), with 47 discrete complication events recorded. Complications were more frequent after stage 1 (27 events) than stage 2 (20 events). Stage\u20131 complications included skin necrosis (18.1%), cartilage exposure (9.0%), cartilage resorption (7.2%), and donor-site hypertrophic scar (5.4%). Stage\u20132 complications included skin necrosis (7.4%), synechiae (4.4%), auricular hypertrophic scar (4.4%), donor-site hypertrophic scar (7.4%), and wire exposure (1.4%). In stage 2, complications occurred in 25 of 57 TPF patients (43.8%), whereas no complications were observed in 10 RFF reconstructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Autologous microtia reconstruction carries a notable complication risk, particularly after stage 1. Smoking, tissue quality, and flap selection may influence outcomes. Careful planning, counseling, flap selection, and postoperative care are essential to minimize complications and optimize results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261460845","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T12:50:16Z","timestamp":1782219016000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Complications in Microtia Reconstruction: An 11-Year Experience at an Academic Hospital in Surabaya, Indonesia"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6668-6496","authenticated-orcid":false,"given":"Indri Lakhsmi","family":"Putri","sequence":"first","affiliation":[{"name":"Airlangga University"},{"name":"Airlangga University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christabela Dwiutami","family":"Tanto","sequence":"additional","affiliation":[{"name":"Airlangga University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7209-6206","authenticated-orcid":false,"given":"Imaniar Fitri","family":"Aisyah","sequence":"additional","affiliation":[{"name":"Institut Teknologi Sepuluh Nopember"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachmaniar","family":"Pramanasari","sequence":"additional","affiliation":[{"name":"Airlangga University"},{"name":"Airlangga University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20836"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.34352"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.04.020"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00001"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198007000-00002"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2021.08.001"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006481"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/229255031402200102"},{"key":"e_1_3_3_10_2","unstructured":"Badan Penelitian dan Pengembangan Kesehatan. 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