Microtia is a congenital deformity where the external ear is underdeveloped or malformed. It can range from mild cases where the ear is slightly smaller than normal, to severe cases where the ear is completely absent.
Plastic surgery offers options for reconstructing the ear in individuals with microtia. The main goal of surgery is to create a more natural-looking ear that restores aesthetic balance and improves hearing, if necessary. The procedure is typically performed in multiple stages and involves several techniques:
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Rib cartilage graft: This is the most common technique used for microtia reconstruction. It involves taking a section of cartilage from the patient's ribcage, shaping it to resemble an ear framework, and placing it beneath the skin in the desired position. The reconstructed ear is then refined and reshaped to achieve a more natural appearance.
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Tissue expanders: In some cases, tissue expanders may be used to create additional skin for the ear reconstruction. A tissue expander is a balloon-like device inserted under the skin near the affected area. Over time, the expander is gradually filled with saline solution to stretch the overlying skin. Once enough skin has been expanded, it is used to cover the cartilage framework of the ear.
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Skin grafts: In certain situations, a skin graft may be necessary to cover the cartilage framework. A skin graft involves taking a piece of skin, typically from the thigh or buttock, and attaching it to the reconstructed ear. This helps to provide adequate skin coverage and improves the final result.
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Earlobe construction: In cases where the earlobe is absent or underdeveloped, the plastic surgeon can create a new earlobe using nearby tissue or a skin graft.
The reconstruction process is typically performed in stages to allow for healing and adjustment between surgeries. It is important to note that the specific technique used for microtia reconstruction may vary depending on the individual case.
Post-surgery, patients will require follow-up appointments to monitor the healing process and make any necessary adjustments. Additional procedures, such as earlobe revisions or ear canal surgeries, may be performed to improve the overall appearance and functionality of the reconstructed ear.
Overall, plastic surgery offers a viable option for individuals with microtia to achieve a more natural-looking and functional ear. It is crucial to book consultation to discuss the most suitable approach based on the individual's specific needs and circumstances.
