Microtia Ear Reconstruction Surgery Steps Discussed

Jul 9, 2025 - 16:02
 2
Microtia Ear Reconstruction Surgery Steps Discussed

Microtia is a congenital deformity of the external ear, affecting approximately one case in every 7,0008,000 births. Its presentation ranges from mild underdevelopment to complete absence of the auricle (anotia). The vast majority of instances are isolated and unilateral; however, the presence of microtia often may be accompanied by conductive hearing loss, craniofacial syndromes, and even psychological trauma caused by facing visible facial differences. According to the best ear surgeon in Mumbai, the cause of the disorder is considered to be a combination of genetic predispositions and environmental trigger factors, with the exact cause remaining unidentified.

It is a highly technical procedure that demands the highest degree of surgical skill. The timing is generally staged according to the specific case and the chosen surgical procedure. Here, learn more about microtia surgery steps:

Steps of Microtia Ear Reconstruction Surgery

1. Giving Anaesthesia

The surgery starts with the administration of general anaesthesia so that the patient remains unconscious and free of pain throughout the operation.

2. Incision Behind the Ear

A careful incision is made behind the malformed or absent ear. A strategic approach is designed to give maximum access with the least temporal scar.

3. Harvesting of Rib Cartilage

Small incisions are made in the chest to harvest the rib cartilage, usually between the sixth and eighth ribs. This rib cartilage forms the primary structural material for the ear.

4. Framework Construction

The surgeon very carefully carves the resected rib cartilage to make a three-dimensional ear framework. This step of the operation is very draughtsman-like, giving maximum attention to detail to resemble the natural ear.

5. Placement of Framework

The sculpted framework is implanted into the correct anatomical area on the side of the head, where the new ear will grow.

6. Soft Tissue Coverage

The construction is then covered by scraped tissue, whether it is fascia or a skin flap, which keeps it in place and maintains the outer ear's natural appearance.

7. Closure and Dressing

All incisions are sutured closed, and sterile dressings are applied over the surgical site to prevent contamination. Efforts are made to ensure that scarring is minimal and contributes to a good cosmetic result.

More than just cosmetic, microtia surgery helps children and adults regain confidence; it improves hearing if coupled with canal reconstruction.

Considering Microtia surgery for your child or someone you love?

Consult a reconstructive surgeon for Microtia in Mumbai, Dr. Parag Telang. He is experienced in this field today, and with him, one can move ahead toward a more natural-looking ear.