Microtia is a congenital deformity affecting the ear where the external ear (pinna) is underdeveloped. This abnormality, frequently associated with Atresia –the absence or closure of the external auditory ear canal, happens approximately in one out of 8,000-10,000 births. More commonly observed in males, Microtia can occur on one ear (unilateral) or both ears (bilateral).
Although the occurrence of Microtia doesn’t pose a threat to life, it can significantly impact the hearing ability and the individual’s self-esteem due to the cosmetic appearance. The effects differ based on the condition’s severity that ranges from grade I-minimal underdevelopment to grade IV-complete absence of the ear (Anotia).
Traditionally, parents consider the surgical reconstruction options once their child reaches a certain age. However, with advancing medical technology and surgical prowess, we’ve broadened this horizon to include Microtia surgery for adults.
A closer examination of Microtia surgery for adults
Included under the ” class, the concept of Microtia surgery for adults is not vastly different from pediatric procedures. The primary goal remains to enhance hearing and cosmetic appearance of the ear, thereby improving one’s quality of life.
The Surgical Approach
The two main types of surgical procedures involved in treating Microtia include Autogenous and Prosthetic methods. The former involves the usage of the patient’s tissues, usually harvested from the rib cartilage, to reconstruct the ear. This procedure, known as the Rib Cartilage Microtia Repair, is the most traditional and commonly used for obvious reasons of biocompatibility and lower rejection rates.
The Prosthetic method, on the other hand, involves the usage of synthetic materials like Medpor or silicone to reconstruct the ear. Unlike the Autogenous method, this procedure does not require a second site for tissue harvesting, therefore being less invasive.
In the case of Microtia surgery for adults, the patient’s general health and lifestyle choices, such as smoking habits, may influence decisions and outcomes. Given that the surgery involves tissue grafting (in Autogenous) or placing a foreign body (in Prosthetic), the patient’s overall health status must permit a conducive environment for healing and recovery.
Wrap Up
Deciding to undergo Microtia surgery for adults is a significant decision involving various medical, practical, and personal considerations. Through a thorough understanding of all associated risks, benefits, and expectations, one can make an informed decision about addressing their Microtia condition.
The treatment for Microtia, irrespective of age and grade, aims to restore not just the structural normality of the ear, but also the loss of self-esteem and confidence potentially experienced due to the cosmetic appearance. This integrative approach to treating Microtia – treating the ‘person,’ not the ‘condition,’ indeed reveals the evolution of medical and surgical sciences to being more patient-centered.