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Nagata Microtia and Reconstructive Plastic Surgery Clinic|Auricular Reconstruction,Nagata Method|Plastic Surgery Clinic 22-1Sasame Minami-cho
Toda City,Saitama 335-0035 Japan

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Systematic approach to the two-stage auricular reconstruction

Satoru Nagata, M.D., Ph.D.
Nagata Microtia and Reconstructive Plastic Surgery Clinic

Congenital auricular defects can be classified into: [1] lobule type microtia; [2] small concha type microtia; [3] concha type microtia; [4] anotia and [5-8] those with low hairline. The first stage operation is the fabrication and grafting of the three-dimensional costal cartilage framework [3-D frame]. The second stage operation is the projection of the reconstructed auricle, symmetrically to the contralateral auricle. In both stages, chest wall deformity must be avoided. Recent advancements in auricular reconstruction enabled us to treat complicated cases such as secondary auricular reconstruction, anotia [including traumatic amputation], low hairline cases, hemifacial macrosomia and post-ENT surgery with consistent and more than satisfactory results. The key is to apply the systematic approach of using temporoparietal fascia flap [TPF], deep temporal flap [DTF] and ultra-delicate split- thickness scalp skin [UDSTS]. The approach can be applied to all microtia cases. TPF with UDSTS cover or DTF with UDSTS cover will both function like a skin flap with full vascularity. Thus, there is no postoperative contracture of the skin cover that leads to resorption of the grafted costal cartilage framework. The conventional method of skin grafting alone is contraindicated because it fails to maintain the contour of the auricle, due to vascular compromise, contracture and resorption.

Auricular Reconstruction

Representative Auricular Reconstruction Cases-Primary Auricular Reconstruction

Lobule Type

Lobule Type

Small Concha Type

Small Concha Type

Concha Type

Concha Type

Anotia

15% Low Hairline

Anotia

Anotia

Anotia

Severe (50%) Low Hairline

Atypical type

Atypical type

Elderly cases

Eldery cases

1st and 2st branchial syndrome:Hemifacial microsomia

1st and 2st branchial syndrome:Hemifacial microsomia

Elderly cases

Eldery cases

Representative Auricular Reconstruction Cases - Secondary Auricular Reconstruction

Secondary Auricular Reconstruction #1

Secondary Auricular Reconstruction #1

Secondary Auricular Reconstruction #2

Secondary Auricular Reconstruction #2

Secondary Auricular Reconstruction #3

Secondary Auricular Reconstruction #3

Secondary Auricular Reconstruction #4

Secondary Auricular Reconstruction #4

Secondary Auricular Reconstruction #5

Secondary Auricular Reconstruction #5

Secondary Auricular Reconstruction #6

Secondary Auricular Reconstruction #6

Secondary Auricular Reconstruction #5

Secondary Auricular Reconstruction #7

Cryptotia

Secondary Auricular Reconstruction #5

Cryptotia

Secondary Auricular Reconstruction #6

Cryptotia Secondary operation

Stahl's ear

Stahl's Ear

Stahl's Ear

Stahl's Ear

Stahl's Ear Seconfary reconstruction

Constricted ear

laceration caused by broken glass Complicated with lowhair line

top_shoureimei_oremimi

Cup ear

cup ear

cup ear

Lop Ear

Lop Ear

Lop Ear

Traumatic auricular defect

laceration caused by broken glass Complicated with lowhair line

laceration caused by broken glass Complicated with lowhair line

Clinic Address

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■Information

◆Jun. 11, 2016 updated: Clinic closed from Sep. 21 (Wed.) to Sep. 24 (Sat.) 2016 for attending ASPS meeting in the U.S.
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◆May 14, 2016 updated: updated: Clinic closed on Oct. 8 (Sat.) 2016 for delivering a lecture at Aichi Gakuin University.
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◆Oct. 30, 2015 updated: Clinic outpatient service will be closed from Dec. 27 (Sunday), 2015 to Jan. 3 (Sunday), 2016 for year-end & new-year holidays.
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◆Aug. 7, 2015 updated: Clinic outpatient service will be closed on Sep. 14 (Mon), Oct. 14 (Wed.) and Oct. 17 (Sat.) 2015 for attending meetings in Japan and the U.S.
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◆Apr. 16, 2015 updated: Clinic closed from Oct. 14 (Wed.) to Oct. 18 (Sun.) 2015 for attending ASPS meeting in the U.S.
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Auricular Reconstruction,Nagata Method

Accuracy evaluation on proportions of the reconstructed auricle / microtia surgery.

To reconstruct an auricle that will not melt

Microtia surgery without pain or deformity in the chest

Reconstructive Surgery

Aesthtics Surgery

Clinic Appointment

Academic exchange with doctors from overseas