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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Hao DongYue,Song Baoqiang,Dong Liwei,et al.Refined surgical protocol and clinical efficacy of total expansion auricular reconstruction surgery[J].Chin J Burns Wounds,2026,42(1):1-7.DOI: 10.3760/cma.j.cn501225-20250929-00409.
Citation: Hao DongYue,Song Baoqiang,Dong Liwei,et al.Refined surgical protocol and clinical efficacy of total expansion auricular reconstruction surgery[J].Chin J Burns Wounds,2026,42(1):1-7.DOI: 10.3760/cma.j.cn501225-20250929-00409.
shu

Refined surgical protocol and clinical efficacy of total expansion auricular reconstruction surgery

doi: 10.3760/cma.j.cn501225-20250929-00409

  • Department of Plastic Surgery, the First Affiliated Hospital of Air Force Medical University, Xi'an 710032, China

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  • Corresponding author: Song Baoqiang, Email: songbq1@163.com
  • Received Date: 2025-09-29
    Available Online: 2026-01-09
    Abstract
  •   Objective  To summarize the refined surgical protocol and clinical efficacy of total expansion auricular reconstruction surgery.  Methods  This study was a retrospective study of case series. From July 2015 to June 2025, 1 136 patients (1 187 ears) with congenital microtia who met the inclusion criteria were admitted to the Department of Plastic Surgery of the First Affiliated Hospital of Air Force Medical University, including 781 males and 355 females, aged 8-40 years. All the patients underwent total expansion auricular reconstruction surgery, which was performed in 3 stages, including skin and soft tissue expander implantation in the stage Ⅰ surgery, costal cartilage harvesting+expanded flap and residual ear management+cartilage framework fabrication and implantation in the stage Ⅱ surgery, and residual ear revision+earlobe transposition in the stage Ⅲ surgery. The postoperative complications in stages Ⅰ, Ⅱ, and Ⅲ were observed and recorded, and the complication rate was calculated. At the last follow-up, patients' satisfaction with the surgical outcome was surveyed using a self-designed satisfaction scale, and the satisfaction rate was calculated.  Results  Postoperative hematoma occurred in 33 patients, including 17 cases after the stage Ⅰ surgery, 15 cases after the stage Ⅱ surgery, and 1 case after both the stage Ⅰ and Ⅱ surgeries. Cartilage framework infection occurred in 15 patients after the stage Ⅰ surgery, helix cartilage fracture occurred in 3 patients after the stage Ⅱ surgery, and cartilage framework deformation occurred in 12 patients after the stage Ⅱ surgery. The complication rate of patients was 5.5% (63/1 136). At the last follow-up during 3 months to 4 years after the stage Ⅲ surgery, 957 patients were satisfied with the surgical outcome, 156 patients were basically satisfied, and 23 patients were dissatisfied, with satisfaction rate of 84.2% (1 113/1 136).  Conclusions  Total expansion auricular reconstruction achieves sufficient skin tissue volume after expansion without skin grafting, a well-formed reconstructed auricle with few complications, and high patient satisfaction with the surgical outcome.

     

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