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Bilateral microtia reconstruction.

Xinhai Liu¹, Qingguo Zhang, Yuzhu Quan

¹Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Shijingshan District, Peking, China.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|August 22, 2009

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Simultaneous bilateral microtia reconstruction using a single-stage surgical approach is feasible and effective. This method offers comparable results, saving time and cost for patients undergoing ear reconstruction.

Area of Science:

Plastic and Reconstructive Surgery
Otolaryngology
Congenital Deformities

Background:

Congenital microtia presents significant challenges in ear reconstruction, particularly in bilateral cases.
Limited literature exists on simultaneous bilateral microtia reconstruction techniques.
Current practices often involve staged reconstruction, increasing treatment duration and cost.

Purpose of the Study:

To introduce and evaluate a single-stage operative method for simultaneous bilateral ear reconstruction in congenital microtia.
To assess the feasibility, effectiveness, and outcomes of this simultaneous approach.

Main Methods:

A cohort of 21 patients with congenital bilateral microtia underwent simultaneous reconstruction.
The procedure involved post-auricular skin flap expansion, autogenous rib cartilage framework implantation, fascial flap lifting, and split-thickness skin grafting.

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All reconstructive steps for both ears were performed in a single surgical stage.

Main Results:

Excellent symmetry in size, shape, and location was achieved in 19 out of 21 cases (90.5%).
The reconstructed ears exhibited symmetrical outlines and well-defined structures.
Minor cartilage absorption or deformation occurred in two cases (9.5%) within a 6-month to 1-year follow-up period.

Conclusions:

Simultaneous bilateral microtia reconstruction is a feasible and effective surgical option.
This single-stage approach offers advantages in terms of time and cost efficiency.
The authors recommend this method as a primary treatment choice for bilateral microtia reconstruction.