This is the most severe ear deformity where most of the parts of the auricle never developed. Another common anomaly with Microtia is no ear canal is present (atresia).
Microtia
This is the most severe ear deformity where most of the parts of the auricle never developed. Another common anomaly with Microtia is no ear canal is present (atresia).
Microtia Reconstruction
It is essential to properly place (position) the newly reconstruct ear. These photographs demonstrate that an improperly positioned ear will give less than acceptable results. A template is drawn over the normal opposite ear. This “map” is drawn on the Microtia side to ensure that the new ear framework is properly placed.
Templates for Configuration of Framework
A second template is copied from the normal ear to help us make the reconstructed ear look similar in shape and size to the normal ear.
Harvesting Rib Grafts
Patients have a choice to either use their own tissue from their ribs, or to use a preformed biosynthetic Medpor framework. If ribs are used to construct a framework, the lower ribs are harvested.
Cartilage Framework
A three layered rib cartilage framework is sculptured to conform to the shape and size of the normal side.
Framework
Creation of Subdermal Pocket
Insertion of Drain
Transposition of Lobule
The ear lobe is moved to its proper position.
