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Auricular reconstruction with patients own tissues, the most preferred method in the world, is completed with two surgeries that are performed under general anesthesia and having at least six months between the procedures. In this section you will find information about the surgeries.
After a small incision is made in the area where the new ear should be and after the amorphous cartilage structures under the skin are removed, a pocket for the new auricle is created under the skin. Then, entering through the chest on the same side through an incision of 4-5 cm, the cartilaginous sections of the 6th, 7th and 8th ribs are removed. The ear infrastructure prepared by sculpting these cartilages is placed in this subcutaneous pocket. In this surgery, the ear is completely shaped, and the process of forming an earlobe is also carried out at this stage. This surgery takes about 6 hours, and our patients can be discharged on the third day after the surgery.
PREOPERATIVE ANATOMICAL MODELING
In cases of unilateral microtia, special efforts are made to capture the maximum anatomical similarity of both ears. To achieve this goal, we use a 3-dimensional model of the patients normal ear created preoperatively. In patients with bilateral microtia, we perform modeling preferably from the ears of one of the parents or another child of the same age with an anatomically appropriate ear structure.
In this operation, which will be performed at least 6 months after the first one, the new ear, which is fully formed but still adjacent to the head, is raised in such a way as to provide the necessary protrusion and a natural sulcus is formed behind the ear. In this way, it is ensured that both ears are symmetrical. If necessary, an additional procedure to correct facial asymmetry can also be performed during this surgery.
In this surgery, the skin and spare cartilage required to create the posterior the posterior auricular sulcus our fold are removed from the chest area and on the same scar, in order to avoid leaving a scar elsewhere. There will be no drain or pain in the chest area.
