Assessment of total pinna reconstruction in the treatment of unilateral microtia

Henryk Skarżyński¹, Maciej Mrówka¹, Paulina Młotkowska-Klimek¹, Bożena Skarżyńska²

Summary
Surgical reconstructive technique in the treatment of unilateral microtia was assessed. Twenty eight patients with unilateral microtia, aged 9 – 23 years underwent the procedure in the years 1999-2002. Brent and Nagata´s two-stage operating technique was used with our own modifications; its aim was to obtain/achieve auricular reconstruction by using the patient´s own rib cartilage.The second stage was performed at 6 months after the first stage of surgery. A total of 23 patients were operated using a two-stage operating technique; in 5 patients only the first step has been performed so far. In 22 out of 23 patients, operation proved to be a total success with fully reconstructed posterior auricular surfaces, functional for wearing glasses. Eighteen patients assessed the operative effect as remarkably good and 4 patients were fully satisfied with the reconstruction. Three patients had hypertrichosis due to a low hairline. In one case the treatment was not successful due to inflammatory necrosis of cartilage following the second-stage operation. The authors believe that this method provides very good therapeutic results, and may be useful and well-tolerated as a reconstructive technique.

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