PONE-D-25-13505 A novel incision design for Vibrant SoundBridge®︎ implantation prior to auricular reconstruction for microtia PLOS ONE

Dear Dr. Ueda,

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Reviewer #1: Yes

Reviewer #2: Partly

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Reviewer #2: Yes

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Reviewer #1: Yes

Reviewer #2: Yes

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Reviewer #2: Yes

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Reviewer #1: At line 139

"A subcutaneous pocket was created through standard dissection"

You did not mention which incision was used to access the pocket.

In table 1 last column

It us other congenital anomalies and not other complications

In figure 5a the scar of insertion of VSB is not visible

Please add to the limitation of the study small number of cases

Reviewer #2: Many thanks for submitting this work to APS.

Authors should just enrich the "discussion" section by briefly mention two concepts:

1) the role of technology for the assessment of prognosis in contemporary Plastic Surgery (for every field of this Discipline, from wounds to microsurgery);

2) the potential future expansion of this kind of method for post oncologic

auricular reconstruction.

Please, cite the following papers

- Guarro G, Cozzani F, Rossini M, Bonati E, Del Rio P. Wounds morphologic assessment: application and reproducibility of a virtual measuring system, pilot study. Acta Biomed. 2021 Nov 3;92(5):e2021227. doi: 10.23750/abm.v92i5.11179. PMID: 34738578; PMCID: PMC8689305.

-Boissiere F, Gandolfi S, Riot S, Kerfant N, Jenzeri A, Hendriks S, Grolleau JL, Khechimi M, Herlin C, Chaput B. Flap Venous Congestion and Salvage Techniques: A Systematic Literature Review. Plast Reconstr Surg Glob Open. 2021 Jan 22;9(1):e3327. doi: 10.1097/GOX.0000000000003327. PMID: 33564571; PMCID: PMC7858245

- Guarro G, Fabrizio T. Indications for and Limitations of Reconstruction of Auricular Defects with the "Mid-moon Flap" and Evaluation of Outcome by the Aesthetic Numeric Analogue Score. Plast Reconstr Surg Glob Open. 2023 Jul 25;11(7):e5152. doi: 10.1097/GOX.0000000000005152. PMID: 37496980; PMCID: PMC10368381.

- Moreno-Vazquez S, Antoñanzas J, Oteiza-Rius I, Redondo P, Salido-Vallejo R. Reconstructive Procedures of the Auricular Concha after Cutaneous Oncologic Surgery: A Systematic Review. J Clin Med. 2023 Oct 14;12(20):6521. doi: 10.3390/jcm12206521. PMID: 37892659; PMCID: PMC10607053.

- Guarro G, Cozzani F, Rossini M, Bonati E, Del Rio P. The modified TIME-H scoring system, a versatile tool in wound management practice: a preliminary report. Acta Biomed. 2021 Sep 2;92(4):e2021226. doi: 10.23750/abm.v92i4.10666. PMID: 34487096; PMCID: PMC8477093.

Many thanks.

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Reviewer #1: Yes: Ahmed Elshahat

Reviewer #2: No

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A novel incision design for Vibrant SoundBridge®︎ implantation prior to auricular reconstruction for microtia

PONE-D-25-13505R1

Dear Dr. Ueda,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

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Kind regards,

Shimpei Miyamoto

Academic Editor

PLOS ONE

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