Surgical Strategies Before Auricular Reconstruction: A Treatment Algorithm for Craniofacial Anomalies in Goldenhar Syndrome.

Categorical data were summarized as n (%), and ages as median.

Hemifacial microsomia with mandibular hypoplasia affected 100%, predominantly right-sided, with Pruzansky-Kaban types I 10.0%, IIA 40.0%, IIB 10.0%, and III 33.3%.

Epibulbar dermoids were present in 93.3%, macrostomia in 43.3%, and congenital facial nerve palsy in 26.7%.

Key procedures followed an age-adapted sequence: primary palatoplasty in 36.7% at 1.2 years [1.0-3.1]; macrostomia repair in 40.0% at 1.0 year [0.8-2.6]; primary mandibular distraction in 50.0% at 7.0 years [4.0-7.0]; secondary distraction in 23.3% at 11.0 years [7.0-14.0]; and microvascular free fibula flap in 40.0% at 14.0 years [10.0-14.5].