{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:54:29Z","timestamp":1783652069789,"version":"3.55.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"vor","delay-in-days":3287,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:p>\n          Background  A cartilage wedge block and covering flap are standard procedures for firm elevation of the ear in microtia correction. However, using costal cartilage for elevation of the reconstructed auricle can be insufficient, and the fixed cartilage wedge block may be absorbed or may slip out. Furthermore, elevating covering flaps is time-consuming and uses up fascia, a potential source of reconstruction material. Therefore, we propose an innovative method using autologous onlay rib bone graft for auricular elevation of microtia.<\/jats:p><jats:p>\n          Methods  From February 1995 to August 2012, 77 patients received a first stage operation with a rib cartilage framework graft. In the second stage operation, a small full thickness of rib bone was harvested through the previous donor scar. The bihalved rib bone was inserted into the subperiosteal pocket beneath the cartilage framework.<\/jats:p><jats:p>\n          Results  The follow-up time ranged from 1 month to 17 years, with a mean of 3 years. All of the patients sustained the elevation of their ears very well during the follow-up period. Donor site problems, except for hypertrophic scars, were not observed. Surgery-related complications, specifically skin necrosis, infection, or hematoma, occurred in 4 cases.<\/jats:p><jats:p>\n          Conclusions  Onlay rib bone graft used to elevate the reconstructed auricle is a more anatomically appropriate material than cartilage, due to the bone-to-bone contact between the bone graft and the temporal bone. Postoperative minor correction of the elevation degree is straightforward and the skin graft survives better. Therefore, reconstructed auricle elevation using onlay rib bone graft is a useful and valuable method.<\/jats:p>","DOI":"10.5999\/aps.2013.40.3.209","type":"journal-article","created":{"date-parts":[[2013,5,27]],"date-time":"2013-05-27T10:23:30Z","timestamp":1369650210000},"page":"209-213","source":"Crossref","is-referenced-by-count":11,"title":["Onlay Rib Bone Graft in Elevation of Reconstructed Auricle: 17 Years of Experience"],"prefix":"10.1055","volume":"40","author":[{"given":"Taehoon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihyeon","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoonho","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00006534-195901000-00001","article-title":"Total reconstruction of the external ear","volume":"23","author":"RC Tanzer","year":"1959","journal-title":"Plast Reconstr Surg Transplant Bull"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1097\/00006534-196301000-00003","article-title":"An analysis of ear reconstruction","volume":"31","author":"RC Tanzer","year":"1963","journal-title":"Plast Reconstr Surg"},{"key":"ref3","author":"JM Converse","year":"1977","edition":"2nd ed"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/S0094-1298(20)31240-2","article-title":"Long-term evaluation of modified Tanzer ear reconstruction","volume":"17","author":"O Fukuda","year":"1990","journal-title":"Clin Plast Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00006534-198007000-00001","article-title":"The correction of mi-rotia with autogenous cartilage grafts: I. 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