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Autologous Reconstruction
Nagata Two-stage
Reconstruction
Pioneered by Prof. S. Nagata in 1985
The most common practice worldwide
First stage
Harvest of 6-9 costal cartilage for
th
fabrication of ear framework, which will
be placed underneath ear skin
At least >10 years old with chest wall
circumference >60cm to ensure Prof. S. Nagata
adequate stock of cartilage for
reconstruction
Nagata S. Plast Reconstr Surg 1993;92(02):187–201