Total auricular reconstruction with autogenous costal cartilage framework for congenital microtia (grade-III)

The Auricular deformity of congenital microtia (Grade-llll can cause devastating physical and psychological trauma in children. liven crude duplications of the normal ear are of great emotional value to the child or adult who is horn with only a nubbin. Diverse materials ranging from altografts (polyethylene, nylon mesh. Teflon. Silicone,etc), cartilage homo and hcterografts haw been tried for framework construction of the ear. Converge (1985) and Tanzer (1959) popularized the use of autogenous rib cartilage, carved in a solid block. We describe our experience with autogenous costal cartilage graft as framework for total auricular reconstruction in 13 patients (15 ears) with congenital microlia(grade-lll). Atresia repair was performed in two patients. with bilateral grade-Ill deformity.