Kolodzynski M N, van Hövell Tot Westerflier C V A, Kon M, Breugem C C
Dutch Center for Ear Reconstruction, University Medical Center Utrecht, Heidelberglaan 100, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Dutch Center for Ear Reconstruction, University Medical Center Utrecht, Heidelberglaan 100, PO Box 85500, 3508 GA Utrecht, The Netherlands.
J Plast Reconstr Aesthet Surg. 2017 Sep;70(9):1280-1284. doi: 10.1016/j.bjps.2017.06.026. Epub 2017 Jun 28.
Ear reconstruction for microtia is a challenging procedure. Although analyzing esthetic outcome is crucial, there is a paucity of information with regard to financial aspects of microtia reconstruction. This study was conducted to analyze the costs associated with ear reconstruction with costal cartilage in patients with microtia.
Ten consecutive children with autologous ear reconstruction of a unilateral microtia were included in this analysis. All patients had completed their treatment protocol for ear reconstruction. Direct costs (admission to hospital, diagnostics, and surgery) and indirect cost (travel expenses and absence from work) were obtained retrospectively.
The overall mean cumulative cost per patient was €14,753. Direct and indirect costs were €13,907 and €846, respectively. Hospital admission and surgery cover 55% and 32% of all the costs, respectively.
This study analyzes the costs for autologous ear reconstruction. Hospital admission and surgery are the most important factors of the total costs. Total costs could be decreased by possibly decreasing admission days and surgical time. These data can be used for choosing and developing future treatment strategies.
小耳畸形的耳部重建是一项具有挑战性的手术。尽管分析美学效果至关重要，但关于小耳畸形重建的财务方面信息却很匮乏。本研究旨在分析小耳畸形患者肋软骨耳部重建的相关成本。
本分析纳入了连续10例接受单侧小耳畸形自体耳部重建的儿童。所有患者均已完成耳部重建治疗方案。回顾性获取直接成本（住院、诊断和手术）和间接成本（差旅费和误工费用）。
每位患者的总体平均累计成本为14,753欧元。直接成本和间接成本分别为13,907欧元和846欧元。住院和手术分别占所有成本的55%和32%。
本研究分析了自体耳部重建的成本。住院和手术是总成本的最重要因素。通过可能减少住院天数和手术时间可以降低总成本。这些数据可用于选择和制定未来的治疗策略。
