FAQs on Microtia Ear Cartilage Surgery Answered

 


Microtia ear cartilage surgery is a gold standard, reconstructive surgery that aims to correct the size and shape of ears with underdeveloped or malformed external parts. Its focus is on the creation of a complete, natural-looking, functional ear structure in people with microtia (small ears). To shed light on microtia ear reconstruction surgery, this article answers  frequently asked questions about microtia ear cartilage surgery.

 

Can a 4-year-old child with microtia undergo an autologous rib cartilage reconstruction?

 

Probably no. Microtia patients in the age group 6 to 10 years are typically recommended for autologous ear reconstruction. That’s because they have sufficient rib cartilage for a new ear framework, are physically and mentally ready for the surgery, and have a nearly adult-size normal ear to mirror with the reconstructed ear.

 

Why should I choose microtia cartilage surgery?

 

Microtia surgery using rib cartilage offers several benefits, including:

 

  • Highly natural-looking shape of the new ear that matches with normal ear in respect of size and contour

  • Reduced risk of rejection or infection due to the use of natural, living tissues- the rib cartilage A robust, trauma and infection-resistant, permanently reconstructed ear Low long-term risks and complications

  • Fewer need for revisions.

 

Will microtia ear cartilage surgery be painful?

 

The whole surgery will go painlessly because of the use of anaesthesia. However, post-surgery, when the anaesthesia effect wears off, it’s normal to expect some pain and discomfort. But that’s short-lived and manageable with prescription pain-relieving medications as well as proper aftercare.

 

What happens during microtia ear cartilage surgery?

 

A microtia surgery using rib cartilage is done in 2-3 stages, depending on the surgery complexity and the technique chosen by the surgeon. The first stage involves the carving of the ear cartilage framework and its placement. The second stage involves ear elevation, and the last stage is optional, which focuses on refinements. In between each stage, months of recovery are required. 

 

Here are the steps to expect during microtia ear cartilage surgery:

 

  1. Creation of a small chest incision for harvesting of rib cartilage.

  2. Meticulous carving of 3D ear framework.

  3. Creation of a pocket under the skin in the area where the ear framework will be placed.

  4. Secured insertion of the ear framework into the pocket, followed by skin closure.

  5. Lifting of the ear to give it natural projection after 4-6 months of placement.

  6. Final detailing of the new ear structure after several months, through procedures like post auricular sulcus creation, and tragus and new ear canal creation.  

 

How to prepare for microtia ear cartilage surgery?

 

To ensure a smooth surgical procedure without risks or complications:

 

  • Make necessary medication adjustments. Take only those that the surgeon allows

  • Go for the requested pre-surgery evaluation tests

  • Make at-home recovery arrangements

  • Maintain a healthy lifestyle

  • Quit smoking.

 

How is recovery like after microtia ear cartilage surgery?

 

Here’s the recovery timeline:

 

  • 1-2 weeks post-surgery- The new ear needs to be protected and secured in shape with a sterile dressing and mold. Drains will be placed to collect any extra fluid. Some discomfort, swelling, and bruising at the new ear site and donor site are normal.

 

  • 2 to 6 weeks post-surgery- The patient can resume gentle physical activities after 2 weeks and avoid anything that could put pressure on the reconstructed ear. Proper incision wound care is important.

 

  • 6 weeks to 12 months- The new ear shape and position will finally settle, after which final ear elevation and other refinements can be done.

 

Will a reconstructed ear look natural?

 

Yes. A new ear is reconstructed by a skilled and experienced microtia surgeon using the patient’s own rib cartilage with the goal of making it match with facial features.

 

Does a reconstructed ear stay with the child till old age?

 

As the reconstructed ear is made of rib cartilage- the child’s own living tissue, the child's body won’t reject it. The cartilage will integrate under the skin and stay for a lifetime. It won’t degrade, rupture, or require replacement even with advancing age or trauma. Thus, the new ear will stay and grow as the child ages.

 

Have more questions? Connect with Dr. Parag Telang at The Microtia Trust for consultation on microtia surgery in Mumbai and achieve a natural, functional ear appearance.   


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