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Facial plastic surgery clinics of North America
Nov, 2016;24 (4): 577-591.

Microtia Reconstruction.

Randall A Bly, Amit D Bhrany, Craig S Murakami, Kathleen C Y Sie
Author Information
  1. Randall A Bly: Pediatric Otolaryngology, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
  2. Amit D Bhrany: Department of Otolaryngology-Head and Neck Surgery, University of Washington, 1959 Pacific Avenue NE, Seattle, WA 98195, USA.
  3. Craig S Murakami: Division of Otolaryngology Head and Neck Surgery, Virginia Mason Medical Center, University of Washington, 1201 Terry Avenue, Seattle, WA 98101, USA.
  4. Kathleen C Y Sie: Childhood Communication Center, Richard and Francine Loeb Endowed Chair in Childhood Communication Research, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA. Electronic address: kathleen.sie@seattlechildrens.org.
PMID: 27712823 DOI: 10.1016/j.fsc.2016.06.011

Abstract

Microtia reconstruction is a challenging endeavor that has seen significant technique evolution. It is important to educate patients and their families to determine the best hearing rehabilitation and ear reconstructive options. Microtia is often associated with aural atresia, hearing loss, and craniofacial syndromes. Optimal care is provided by multiple disciplines, including a reconstructive surgeon, an otologic surgeon, an audiologist, and a craniofacial pediatrician. Microtia management includes observation, prosthetic ear, autologous cartilage reconstruction, or alloplastic implant placement. Hearing management options are observation, bone conduction sound processor, or atresiaplasty with and without hearing aids. Appropriate counseling should be done to manage expectations.

Keywords

Alloplastic reconstruction Auricular reconstruction Autologous reconstruction Cartilage graft Microtia Microtia management

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Grants

  1. T32 DC000018/NIDCD NIH HHS

MeSH Term

Cartilage
Congenital Microtia
Directive Counseling
Humans
Prostheses and Implants
Plastic Surgery Procedures
Ribs
Transplantation, Autologous
Journal Article Review
Article has an altmetric score of 6

Word Cloud

Created with Highcharts 10.0.0MicrotiareconstructionhearingmanagementearreconstructiveoptionscraniofacialsurgeonobservationchallengingendeavorseensignificanttechniqueevolutionimportanteducatepatientsfamiliesdeterminebestrehabilitationoftenassociatedauralatresialosssyndromesOptimalcareprovidedmultipledisciplinesincludingotologicaudiologistpediatricianincludesprostheticautologouscartilagealloplasticimplantplacementHearingboneconductionsoundprocessoratresiaplastywithoutaidsAppropriatecounselingdonemanageexpectationsReconstructionAlloplasticAuricularAutologousCartilagegraft

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