Microtia is a birth defect that occurs in about one in 6,000 to 12,000 births around the world. If your child was born with some degree of microtia in one of their ears, there’s a lot that plastic surgeons can do to fix the problem. At Up Pediatric Plastic Surgery, Shitel Patel, MD, and Jacqueline Wegge, MD, have considerable experience in ear reconstruction, helping children in Houston and Webster, Texas. To learn more, please call or use the online scheduler to book an appointment
The surgeons at Up Pediatric Plastic Surgery typically turn to three ear reconstruction techniques for children with microtia:
After taking careful measurements to match the other ear, the surgeon shapes the Medpor accordingly to provide the framework for your child’s ear.
The surgeon then makes an incision in your child’s hairline, as well as at the location of the new ear, and creates what’s called a temporoparietal fascia flap. Underneath the scalp, there’s a layer of tough, thin, pliable tissue called the temporoparietal fascia, which has a robust blood supply. The surgeon lifts up this tissue and rotates it to the position of your child’s new ear, where it makes the perfect covering for the Medpor. The flap brings a blood supply to the area and gradually grows into the implant.
Once the Medpor is completely enclosed by the flap, the surgeon sutures it into place and covers it with skin. If additional skin grafts are needed, the doctor obtains them from behind the opposite ear or your child’s groin. After inserting drains, the surgeon places a foam-like splint over your child’s ear to protect it and sutures it in place.
You should plan on spending one night in the hospital. The doctor removes the drains the next day before you go home. The doctor gives your child a special compression headband to wear to help protect the ear until you come back to Up Pediatric Plastic Surgery in 10-14 days to have the splint removed.
After the doctor removes the splint, your child’s ear looks very swollen, which takes several months to subside.
If you want to get started on creating a new ear for your child with microtia, call Up Pediatric Plastic Surgery, or book an appointment online using the convenient scheduling tool.