Dr. Satoru Nagata, the director of NAGATA Microtia and Reconstructive Plastic Surgery Clinic, passed away in January, 2022 and consequently, the clinic closed.

After his passing, the microtia reconstruction surgery with Nagata method was resumed in May 2022 by Dr. Seiichi Maruyama, the director of Hills Aesthetic and Cosmetic Clinic, who had learned microtia surgeries directly from Dr. Nagata and had performed microtia surgeries together with Dr. Nagata for many years.

The surgery details are as follows:

Location (surgery & hospitalization): Narita Tomisato Tokushukai Hospital at Tomisato city, Chiba prefecture

Surgeons: Dr. Seiichi Maruyama conducts microtia surgeries with the help of Dr. Yasuyo Nakashima (plastic surgeon, Narita Tomisato Tokushukai Hospital).

Costs : Approximately 6,000,000 yen per surgery (a microtia surgery + 2 to 3 weeks of hospitalization included)

Inquiry: Any inquiries about microtia surgeries may be sent to info@nagata-microtia.com . (Please do NOT contact Narita Tomisato Tokushukai Hospital directly. Any such contact is limited to patients scheduled for surgeries.)

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

Photos in this blog are shown for your reference for understanding the treatment of microtia. Please understand that surgery results vary depending on each case.

Possible complications following microtia reconstruction surgery

Transient facial palsy, Failure of skin graft due to vascular compromise, Infection resulting in exposure of the 3-D frame, Pneumothorax, Postoperative pneumonia, Suture failure, Alopecia, Decubitus and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

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

Photos in this blog are shown for your reference for understanding the treatment of microtia. Please understand that surgery results vary depending on each case.

Possible complications following microtia reconstruction surgery

Transient facial palsy, Failure of skin graft due to vascular compromise, Infection resulting in exposure of the 3-D frame, Pneumothorax, Postoperative pneumonia, Suture failure, Alopecia, Decubitus and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

Cryptotia

Secondary Auricular Reconstruction #5

Cryptotia

Secondary Auricular Reconstruction #6

Cryptotia Secondary operation

Photos in this blog are shown for your reference for understanding ear reconstruction surgery. Please understand that surgery results vary depending on each case.

Possible complications following ear reconstruction surgery

Infection, Suture failure and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

Stahl's ear

Stahl's Ear

Stahl's Ear

Stahl's Ear

Stahl's Ear Seconfary reconstruction

Photos in this blog are shown for your reference for understanding ear reconstruction surgery. Please understand that surgery results vary depending on each case.

Possible complications following ear reconstruction surgery

Infection, Suture failure and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

Constricted ear

laceration caused by broken glass Complicated with lowhair line

top_shoureimei_oremimi

Photos in this blog are shown for your reference for understanding ear reconstruction surgery. Please understand that surgery results vary depending on each case.

Possible complications following ear reconstruction surgery

Infection, Suture failure and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

Cup ear

cup ear

cup ear

Photos in this blog are shown for your reference for understanding ear reconstruction surgery. Please understand that surgery results vary depending on each case.

Possible complications following ear reconstruction surgery

Infection, Suture failure and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

Lop Ear

Lop Ear

Lop Ear

Photos in this blog are shown for your reference for understanding ear reconstruction surgery. Please understand that surgery results vary depending on each case.

Possible complications following ear reconstruction surgery

Infection, Suture failure and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

Traumatic auricular defect

laceration caused by broken glass Complicated with lowhair line

laceration caused by broken glass Complicated with lowhair line

Photos in this blog are shown for your reference for understanding ear reconstruction surgery. Please understand that surgery results vary depending on each case.

Possible complications following ear reconstruction surgery

Infection, Suture failure and Others
In the event such complications arise, appropriate action is taken based on the case. Additional or secondary surgery may be required in some situations.

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■Blog Updates

◆September. 20, 2022 updated:
Postoperative report on the patient operated on September 20, 2022
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◆November. 16, 2022 updated:
1st-stage operation for microtia 
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◆November. 15, 2022 updated:
Postoperative report on the patient operated on September 6, 2022 
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◆October. 5, 2022 updated:
Secondary reconstruction for microtia 
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◆September. 22, 2022 updated:
1st-stage operation for microtia 
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◆September. 18, 2022 updated:
Postoperative report on the patient operated on August 2, 2022 [After 1 month]
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◆September. 14, 2022 updated:
Secondary reconstruction for microtia
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◆September. 7, 2022 updated:
1st-stage operation for microtia
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◆August. 24, 2022 updated:
Postoperative report on the patient operated on August 2, 2022
-------------------------- ◆August. 23, 2022 updated:
Postoperative report on the patient operated on June 14, 2022
-------------------------- ◆August. 22, 2022 updated:
Postoperative report on the patient operated on June 28, 2022
-------------------------- ◆August. 14, 2022 updated:
Postoperative report on the patient operated on July 26, 2022
-------------------------- ◆August. 10, 2022 updated:
Secondary reconstruction for microtia 9/August/2022
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◆August. 3, 2022 updated:
1st-stage operation for microtia
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◆August. 1, 2022 updated:
Postoperative report on the patient operated on May 24, 2022
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◆July. 27, 2022 updated:
2nd-stage operation for microtia
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◆July. 13, 2022 updated:
Secondary reconstruction for microtia
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◆June. 29, 2022 updated:
2nd-stage operation for microtia
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◆June. 17, 2022 updated:
2nd-stage operation for microtia
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Auricular Reconstruction,Nagata Method