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Updated: May 30, 2026
The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
International trends in the treatment of microtia
Corstiaan C Breugem1, Ken J Stewart, Moshe Kon
1Dutch Centre for Ear Reconstruction, Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital, Utrecht, the Netherlands. c.c.breugem@umcutrecht.nl
Background:
Microtia is a well-known craniofacial malformation treatable with numerous different treatment strategies and techniques. The purpose of this study was to analyze the current international trends in microtia repair.
Methods:
All surgeons attending the fourth International Ear Reconstruction Congress in Edinburgh received a questionnaire by e-mail about their current surgical practice in microtia care.
Results:
Thirty-one questionnaires were received. Most primary reconstructions are performed at ages 8 to 10 years using autologous cartilage from the ipsilateral sixth to eighth ribs. Most surgeons make a multilayer framework, leaving a subcutaneous pedicle. Suction drainage was used in all patients. On average, the second stage was performed more than 6 months later using a mastoid flap. Most surgeons do not reconstruct the middle ear.
Conclusions:
Microtia reconstruction is performed in many different ways, with numerous treatment and postoperative possibilities.
Insights
This study surveyed surgeons on microtia repair techniques. Findings reveal varied international practices in reconstructive surgery for microtia (congenital ear deformity).
Area of Science:
- Craniofacial surgery
- Otolaryngology
- Plastic surgery
Background:
- Microtia is a common craniofacial malformation.
- Various treatment strategies exist for microtia repair.
Purpose of the Study:
- To analyze current international trends in microtia repair surgery.
Main Methods:
- A questionnaire was emailed to surgeons at the fourth International Ear Reconstruction Congress.
- Surgeons were surveyed on their current microtia care practices.
Main Results:
- Thirty-one questionnaires were analyzed.
- Most reconstructions occur between ages 8-10 using autologous rib cartilage.
- A multilayer framework with a subcutaneous pedicle and suction drainage is common.
- A second stage, often using a mastoid flap, occurs >6 months later.
- Middle ear reconstruction is not typically performed.
Conclusions:
- Microtia reconstruction techniques vary widely.
- Numerous treatment and postoperative options exist for microtia repair.
