{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:52:30Z","timestamp":1777877550163,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"CAMS Innovation Fund for Medical Sciences","award":["2021-12M-1-001"],"award-info":[{"award-number":["2021-12M-1-001"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>The technique combining a crescent-shaped costal framework with the biomechanical properties of residual auricular cartilage is expected to enhance the structural stability and aesthetic outcomes of the reconstructed ear in mild conchal-type microtia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To present a technique that integrates a crescent-shaped costal framework with the biomechanical properties of residual auricular cartilage to reconstruct mild conchal-type microtia, aiming to improve structural stability and aesthetic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Auricular Reconstruction Center, Plastic Surgery Hospital, Peking Union Medical College, between January 2023 and January 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patients with grade I or II conchal-type congenital microtia underwent auricular reconstruction using this refined technique. The procedure integrates a crescent-shaped costal framework with residual auricular cartilage to achieve single-stage ear reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>The surgery technique combining a crescent-shaped costal framework with the biomechanical properties of residual auricular cartilage was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>Postoperative outcomes were assessed based on the integrity of auricular subunit structures, bilateral symmetry, scar visibility, complication rates, Ear-Q (Appearance), and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 26 unilateral microtia cases (20 right ears and 6 left ears) with a mean follow-up period of 9.43\u2009\u00b1\u20093.57\u2009months. According to aesthetic evaluations, 23 patients (88.46%) received 4 points (indicating an excellent aesthetic effect). Patient satisfaction was high, with 24 patients (92.31%) and their families reporting favorable outcomes. The mean Ear-Q (Appearance) score was 62.23\u2009\u00b1\u200918.68. Aesthetic results were rated as the highest score in 23 cases (88.46%). There were no significant dimensional differences between the reconstructed and unaffected ears, and no significant changes between immediate postoperative and final follow-up measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>The combination of a crescent-shaped costal framework with residual auricular cartilage offers a reliable, aesthetically-refined, and technically-efficient approach for the repair of mild conchal-type microtia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19160216261425225","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T15:10:16Z","timestamp":1773933016000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reconstruction of Concha-Type Microtia Using a Crescent Costal Framework and Residual Auricular Cartilage"],"prefix":"10.1177","volume":"55","author":[{"given":"Jinxiu","family":"Yang","sequence":"first","affiliation":[{"name":"Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8263-7432","authenticated-orcid":false,"given":"Shujun","family":"Fan","sequence":"additional","affiliation":[{"name":"Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9924-1688","authenticated-orcid":false,"given":"Xinyi","family":"Jiang","sequence":"additional","affiliation":[{"name":"Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leren","family":"He","sequence":"additional","affiliation":[{"name":"Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-4520.2005.00080.x"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199402000-00002"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199402000-00003"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197555040-00003"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)32142-8"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0094-1298(01)00015-3"},{"issue":"5","key":"e_1_3_3_8_2","first-page":"656","article-title":"[Research progress of clinical therapy for concha-type microtia]. 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