{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:46:05Z","timestamp":1761129965259,"version":"3.37.3"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,5,22]],"date-time":"2022-05-22T00:00:00Z","timestamp":1653177600000},"content-version":"vor","delay-in-days":202,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,11,15]],"date-time":"2021-11-15T00:00:00Z","timestamp":1636934400000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>\n          Background Reconstruction of congenital microtia remains challenging, particularly in patients with a history of ear canaloplasty due to insufficient regional soft tissue. The insertion of a tissue expander prior to implantation of the cartilage framework has traditionally been employed. However, this procedure could induce additional morbidity. Herein, we present a method using V-Y advancement of a temporal triangular flap to gain additional soft tissue in these challenging cases.<\/jats:p><jats:p>\n          Methods Congenital microtia patients with a history of ear canaloplasty who underwent auricular reconstruction using the Nagata technique between 2016 and 2020 were reviewed. To obtain additional soft tissue, V-Y advancement of a temporal triangular flap was performed concurrently with implantation of the costal cartilage framework, without prior insertion of a tissue expander. The outcomes of these patients with respect to postoperative complications and esthetics were evaluated.<\/jats:p><jats:p>\n          Results Eight patients with bilateral lesions were included. No specific complications developed after the first-stage surgery. However, one patient experienced complications after the second stage (auricular elevation). An analysis of the esthetic results showed most patients had excellent outcomes, achieving a satisfactory convolution. The median number of operations needed to complete reconstruction was 2, which was fewer than required using the conventional method with prior insertion of a tissue expander.<\/jats:p><jats:p>\n          Conclusions In patients with a history of previous canaloplasty, V-Y advancement of a temporal triangular flap could serve as an alternative to tissue expansion for microtia reconstruction. This technique provided reliable and satisfactory results with a reduced number of surgical stages.<\/jats:p>","DOI":"10.5999\/aps.2021.00381","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T00:34:55Z","timestamp":1637282095000},"page":"614-621","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reconstruction of congenital microtia after ear canaloplasty using V-Y advancement of a temporal triangular flap"],"prefix":"10.1055","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2872-0590","authenticated-orcid":false,"given":"Hae Yeon","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9070-9296","authenticated-orcid":false,"given":"Kyeong-Tae","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3864-822X","authenticated-orcid":false,"given":"Eun-Ji","family":"Kim","sequence":"additional","affiliation":[{"name":"Slow Plastic Surgery Clinic, Jeju, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5535-8400","authenticated-orcid":false,"given":"Kap Sung","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,22]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1097\/00006534-199402000-00001","article-title":"Modification of the stages in total reconstruction of the auricle: part I. Grafting the three-dimensional costal cartilage framework for lobule-type microtia","volume":"93","author":"S Nagata","year":"1994","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1097\/00006534-199402000-00002","article-title":"Modification of the stages in total reconstruction of the auricle: part II. Grafting the three-dimensional costal cartilage framework for concha-type microtia","volume":"93","author":"S Nagata","year":"1994","journal-title":"Plast Reconstr Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1097\/00006534-199402000-00003","article-title":"Modification of the stages in total reconstruction of the auricle: part III. Grafting the three-dimensional costal cartilage framework for small concha-type microtia","volume":"93","author":"S Nagata","year":"1994","journal-title":"Plast Reconstr Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1097\/00006534-199402000-00004","article-title":"Modification of the stages in total reconstruction of the auricle: part IV. 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Four skin flaps and temporoparietal fascia flap","volume":"67","author":"YS Kim","year":"2011","journal-title":"Ann Plast Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1016\/j.bjps.2014.02.012","article-title":"A new skin flap method for total auricular reconstruction in microtia patients with a reconstructed ear canal: extended scalp and extended mastoid postauricular skin flaps","volume":"67","author":"E Hwang","year":"2014","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1097\/MAO.0b013e3181b23664","article-title":"Atresia repair before microtia reconstruction: comparison of early with standard surgical timing","volume":"30","author":"JB Roberson Jr","year":"2009","journal-title":"Otol Neurotol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1007\/s12262-015-1263-2","article-title":"A new flap technique for reconstruction of microtia and congenital aural atresia","volume":"77(Suppl 3)","author":"K Chen","year":"2015","journal-title":"Indian J Surg"},{"issue":"558","key":"ref15","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1080\/03655230701624814","article-title":"Long term results of postoperative canal stenosis in congenital aural atresia surgery","author":"SO Chang","year":"2007","journal-title":"Acta Otolaryngol Suppl"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"1558","DOI":"10.1097\/PRS.0000000000005063","article-title":"Microtia reconstruction in hemifacial microsomia patients: three framework coverage techniques","volume":"142","author":"JY Park","year":"2018","journal-title":"Plast Reconstr Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2021-00381.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2021.00381","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2021.00381.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T09:09:25Z","timestamp":1705568965000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2021.00381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":16,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,5,22]]},"published-print":{"date-parts":[[2021,11]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2021.00381","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"type":"print","value":"2234-6163"},{"type":"electronic","value":"2234-6171"}],"subject":[],"published":{"date-parts":[[2021,11]]},"assertion":[{"value":"2021-03-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}