Microtia

m i c r o t i a

Loading

What Is Microtia?

Microtia is a congenital condition where the outer ear (auricle) is underdeveloped, misshapen, or completely absent. It can cause both cosmetic and functional concerns, especially hearing problems. Surgical treatment aims to reconstruct a natural-looking ear.

 

Surgical Treatment Methods

1. Rib Cartilage Reconstruction (Autologous)

This technique involves using the patient’s own rib cartilage to create an ear framework.

  • Typically performed between ages 6–10

  • Requires 2 to 3 surgical stages

  • Performed by experienced reconstructive surgeons

Advantages:

  • Permanent and natural-looking result

  • Uses the patient’s own tissue (low rejection risk)

Disadvantages:

  • Longer surgical process

  • Scar may remain on the chest where cartilage is harvested

 

2. Medpor (Synthetic Implant) Technique

Medpor is a porous polyethylene implant shaped into an ear form and placed under the skin.

  • Can be performed as early as ages 3–5

  • Usually completed in a single surgical session

Advantages:

  • Shorter surgical time

  • No need to harvest rib cartilage

Disadvantages:

  • Slightly higher risk of infection or implant exposure

  • Some patients may develop sensitivity to the material

 

Stages of Surgery

  1. Initial Evaluation
    – Medical and anatomical assessment, hearing tests, 3D planning.

  2. Framework Creation
    – Cartilage is sculpted or implant is prepared based on the opposite ear’s anatomy.

  3. Implantation and Shaping
    – The new ear structure is placed under the skin.

  4. Secondary Procedure (if needed)
    – Further definition and ear elevation can be done in a follow-up surgery.

 

Ideal Age for Microtia Surgery

Technique Recommended Age
Rib Cartilage Method 6–10 years
Medpor Method 3–5 years

 

Surgery is timed based on cartilage development and the child’s physical and emotional readiness.

 

 

What Is the Success Rate?

  • The overall success rate of microtia surgery is between 85% and 95%

  • Outcomes are best when performed by experienced specialists

  • Aesthetic results and patient satisfaction are generally high

  • Hearing restoration may require separate procedures

 

FAQ (Frequently Asked Questions)

Does microtia surgery hurt?
The procedure is done under general anesthesia. Mild pain is expected post-op but is well-managed with medication.

How long is the recovery time?
Initial healing takes about 1–2 weeks. Full recovery and final ear contour develop over several months.

Can the new ear lose its shape over time?
When done correctly, the result is long-lasting. However, trauma or infection can affect the outcome.

 

Want to know if surgical microtia correction is right for you or your child? Contact our clinic today to schedule a free consultation with our specialist team.