Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 5, Issue 7 | Research Article | Open Access DOI
Abhinn Miglani*
Suraj Pinate1, Nutan Dhamdhere2, Upasa Sarma Medhi3, Abhinn Miglani4*, Pravin Birajdar5, Anubhav Dey6, Rafia Ferdousa Islam7
1Department of Prosthodontics Crown and Bridge, Saraswati Dhanwantari Dental College and Hospital, Parbhani, Maharashtra, India
2Department of Prosthodontics Crown and Bridge, Saraswati Dhanwantari Dental College and Hospital, Parbhani, Maharashtra, India
3Department of Oral and Maxillofacial Surgery, Institute of Dental sciences, Siksha ‘O’ Anusandhan University, Kalinga Nagar, Bhubaneswar, Odisha, India
4*Department of Oral and Maxillofacial Surgery, Institute of Dental sciences, Siksha ‘O’ Anusandhan University, Kalinga Nagar, Bhubaneswar, Odisha, India
5Department of Oral and Maxillofacial Surgery, The Oxford Dental College, Bomanhalli, Bengaluru, Karnataka, India
6Department of Oral and Maxillofacial Surgery, Institute of Dental sciences, Siksha ‘O’ Anusandhan University, Kalinga Nagar, Bhubaneswar, Odisha, India
7 Department of Oral and Maxillofacial Surgery, Career Post Graduate Institute of Dental Sciences and Hospital, Lucknow, Uttar Pradesh, India
*Correspondence to: Abhinn Miglani
Fulltext PDFBackground: Autologous costal cartilage reconstruction for congenital microtia is considered to be the gold standard for congenital microtia. Brent (staged) and Nagata (two-stage) techniques are one of the most dominant autologous philosophies in present time. This review aims to compares principles, outcomes, and their indications.
Methods: A narrative review including studies across PubMed, Scopus, Web of Science, and Google Scholar between the year 1990–2026 was conducted, focusing majorly on landmark and contemporary studies with focus on operative methodology, complications, and patient-reported outcomes.
Results: Both techniques show durable yet satisfactory outcomes. Brent's four-stage approach supports gradual soft-tissue adaptation and has a gentler learning curve; Nagata's two-stage approach reduces the number of surgeries but shows superior projection and contour definition but requires greater technical consideration. This article empathizes that all total surgical outcomes depends more on surgical precision, patient selection, and cartilage availability than on technique employed alone.
Conclusions: Neither technique is universally superior. Selection should be individualized by patient age, chest wall development, soft-tissue quality, and surgeon experience. Three- dimensional planning, CAD/CAM framework design, and tissue-engineered cartilage represent promising future directions.
Microtia; Auricular reconstruction; Autologous costal cartilage; Brent technique; Nagata technique; Ear reconstruction
Suraj Pinate, Nutan Dhamdhere, Upasa Sarma Medhi, Abhinn Miglani, Pravin Birajdar, Anubhav Dey, Rafia Ferdousa Islam. Autologous Auricular Reconstruction in Microtia: A Narrative Review of the Brent and Nagata Techniques. Ann Case Rep Clin Stud. 2026;5(7):1-5.