Option 1: Costal Cartilage-Based Reconstruction
Option 2: Medpor and Supor-Based Microtia Reconstruction
This approach is also known as a “natural” way to reconstruct the ear because only the patient's own tissue is used, not an implant. This method involves using cartilage from the patient's own rib to create a new framework for the future ear.
This is typically done in two stages. The first stage can require overnight admission for observation, and the second stage is an outpatient procedure. On occasion, a single stage rib cartilage-based surgery can be performed.
The surgical approach typically happens at age 8, but can begin earlier depending on the patient's size. Patients typically stay overnight for observation.
This stage will typically happen 4-6 months after Stage I and involves elevation of the framework to create an ear that is projected relative to the other side.
This approach uses an implant (such as Medpor or Supor) that is shaped like the framework of an ear, avoiding the need for rib cartilage.
Implant or porous polyethylene-based surgery is typically performed around 8 years of age as well, but can be performed earlier when indicated.
Typically Single Staged (Sometimes Multiple)
For situations where a reconstructed ear using rib-cartilage failed or does not look as great as you would like, revision surgery may be indicated.
As with rib-based surgery for microtia, implants can also require revision surgery. The approach can depend on severity of the problem.
On occasion, scalp and skin graft hair growth on the newly reconstructed ear can happen. This can be treated in different ways, including laser hair removal.
Which One is Better?
Rib-based microtia surgery provides a “natural” means of reconstruction since the patient’s own tissue is used. Rib-based cartilage does resemble normal ear cartilage and possesses more flexibility than other materials. Sensation (feeling) to the new ear can be preserved.
Implant-based reconstruction for microtia can be great options for patients. The implant can look like a normal ear with good projection. The downside is that it is an implant, and the “lifespan” is unknown. Additionally, because of how the implant is reconstructed, it is far less likely to result in sensation.
This surgery involves placement of permanent sutures to create normal ear shape and symmetry as well as modification of the skin and cartilage of the ear.
Conditions that we treat include:
As a craniofacial surgeon, we treat many other conditions of the face and facial skeleton.
For all other ear conditions and to learn more
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