Brent Technique for Microtia Reconstruction

Publication date: Available online 14 March 2017
Source:Operative Techniques in Otolaryngology-Head and Neck Surgery
Author(s): Brittany J. Behar, Donald R. Mackay
The Brent technique for microtia repair was first published in 1974 and developed from principles espoused by Tanzer.^1,2 This process involves careful meticulous planning with creation of preoperative templates. The surgical reconstruction involves four stages. Stage one is started as early as six years of age with harvest of a contralateral costal cartilage and subdermal placement through an anterior auricular incision. Additional stages involved creation and inset of a lobule, elevation of the auricle and creation of a posterior sulcus and grafting of a tragus and deepening of the conchal bowl.³ Long term outcomes are successful with this technique with minimal incidence of infection, extrusion and hematoma. These cartilage constructs grow simultaneously with the patient and the unaffected ear.⁴



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