Procedure of Microtia Surgery

Microtia surgery or ear reconstruction surgery is a procedure designed to correct the congenital deformity of the external ear known as microtia. The actual procedure for microtia surgery involves several steps, and it can vary depending on the severity of the condition and the patient’s individual needs.

Here is a detailed breakdown of the procedure:

Anaesthesia: The surgery begins with administering anaesthesia to ensure the patient’s comfort during the procedure. General anaesthesia is typically used for microtia surgery, allowing the patient to remain unconscious and pain-free throughout the operation.

Incision:

The surgeon makes an incision behind the affected ear. The location of the incision may vary depending on the specific technique used and the severity of the microtia. The incision is carefully planned to provide optimal access to the underlying structures while minimising visible scarring.

Rib Cartilage Graft Harvesting: In most cases of microtia surgery, rib cartilage is used to reconstruct the missing or underdeveloped ear. The surgeon creates a small incision in the chest area and carefully harvests a section of rib cartilage, usually from the patient’s own body. This cartilage will be used to create the framework for the new ear.

Framework Construction: The harvested rib cartilage is then shaped and sculpted to recreate the missing ear structure. The surgeon meticulously carves the cartilage graft into the desired shape and size, mimicking the appearance of a natural ear. The framework is then carefully positioned in the correct anatomical position.

Soft Tissue Covering: Once the framework is in place, the surgeon wraps the cartilage with local tissue to provide coverage and support. This may involve using adjacent tissue, such as fascia or skin flaps, to ensure a natural-looking result. The soft tissues are carefully sutured in place, securing the cartilage framework.

Closure: The incisions are closed using sutures, and a sterile dressing is applied to protect the surgical site. The surgeon takes care to ensure that the incisions are closed in a way that minimises scarring and provides optimal aesthetic results.

Post-Operative Care for Microtia Surgery

Bandages: Following microtia surgery, the affected ear and surrounding area will be bandaged to protect the surgical site and promote proper healing. These bandages may need to be kept clean and dry as directed by your surgeon.

Pain Management: Some discomfort or pain may be experienced after surgery. Your doctor will prescribe appropriate pain medication to help manage any discomfort during the recovery period.

Activity Restrictions: You will need to avoid certain activities that may put a strain on the surgical site. This includes avoiding excessive physical exertion, contact sports, and activities that may cause trauma to the ear area.

Follow-Up Appointments: Regular follow-up appointments with your surgeon are essential to monitor the healing progress and ensure optimal results. Your surgeon will provide specific instructions on when to schedule these appointments and what signs of complications to watch for.

Remember, each patient’s experience with microtia surgery may vary, and it is important to follow your surgeon’s individualised pre-and post-operative instructions for the best outcomes.