Functional and esthetic reconstruction of microtia and congenital aural atresia: a case report

Reconstruction of microtia and congenital aural atresia is a challenging surgery that requires experience and thorough knowledge. The goals of auricular reconstruction and atresiaplasty are to improve the cosmetic appearance and rehabilitate the acoustic function. There are several options for reconstruction of the external ear. Here, we present a case of microtia and congenital aural atresia in an 18-year-old woman. The two-stage auricular reconstruction using autologous costal cartilage and atresiaplasty were performed. The first stage of auricular reconstruction included fabrication and placement of the costal cartilage framework in the subcutaneous pocket. The second stage of auricular reconstruction involved elevation of the cartilage framework and a split-thickness skin graft. In the third stage, atresiaplasty involved reconstructions of the external auditory canal and tympanic membrane. Autologous microtia reconstruction with atresiaplasty is a good option to achieve improving the cosmetic appearance and acoustic function in patients with microtia and congenital aural atresia