title: Microtia Reconstruction.
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.
authors.affiliation: Pediatric Otolaryngology, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
authors.forename: Randall A
authors.initials: RA
authors.lastname: Bly
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Washington, 1959 Pacific Avenue NE, Seattle, WA 98195, USA.
authors.forename: Amit D
authors.initials: AD
authors.lastname: Bhrany
authors.affiliation: Division of Otolaryngology Head and Neck Surgery, Virginia Mason Medical Center, University of Washington, 1201 Terry Avenue, Seattle, WA 98101, USA.
authors.forename: Craig S
authors.initials: CS
authors.lastname: Murakami
authors.affiliation: 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.
authors.forename: Kathleen C Y
authors.initials: KC
authors.lastname: Sie
mesh_terms: D002356:Cartilage / Q000637:transplantation; D065817:Congenital Microtia / Q000175:diagnosis / Q000601:surgery*; D037001:Directive Counseling; D006801:Humans; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012272:Ribs; D014182:Transplantation, Autologous / Q000379:methods
keywords: Alloplastic reconstruction; Auricular reconstruction; Autologous reconstruction; Cartilage graft; Microtia; Microtia management