1. How soon should my child see a plastic surgeon?
For the child with microtia, an appointment with a plastic surgeon should be planned as soon as he/she is interested and ready to learn about the treatment options available. Early consultation can help to plan for the right approach and the right timing. It is very important that he/she first see an audiologist to assess and assist with any hearing difficulties.

2. Why does the child have to be at least 10 years old to have this surgery?
By the time a child has reached the age of 10 years, enough rib cartilage has developed to support the formation of an ear reconstruction framework. At this age, the size of the ear is a close match to the size attained as an adult, and any normal ear tissue provides an excellent approximation of the size and shape that must be replicated for optimal aesthetic results.

3. What are the risks with this type of surgery?
The surgical risks for ear reconstruction are similar to those of other operations. There are minor risks of infection, bleeding and delayed wound healing, but all of these can be readily managed.

4. How many physicians will be involved with my childs care?
Both Dr. Fisher and Dr. Kasrai will be involved with the care of all patients. In the operating room, an anesthesiologist will also be part of the team and assistants will participate under the guidance of Drs. Fisher and Kasrai.

5. Why dont you use Medpore or Silicon forms to reconstruct the ear?
These products do not provide the same quality of ear shape and can produce a less-than-desirable result for many patients. There is also a high risk of the forms becoming exposed through the thin covering layer of skin. This type of skin breakdown is not uncommon and can be difficult to repair. There is also the risk of implant breakage.

6. Can a parent donate the cartilage needed for the surgery?
Unfortunately, a parent cannot donate cartilage for this surgery because the patient may reject this foreign tissue in his or her body.

7. Are you able to put families in touch with other people who have been through the experience?
Yes, a number of patients in our practice are very open to contacting and supporting new families by sharing their experiences of the procedure and of our team of health care professionals.

8. What are the travel considerations for families who are not living in Toronto?
Families should plan to be in Toronto for 2-3 weeks for each surgery. The International Office at the Hospital for Sick Children can help families plan and prepare for such trips. Please refer to the Hospitals website for a full listing of travel resources and information.

9. Can any of the surgery be done as an outpatient?
The surgical procedures required are intricate and complex. They cannot be performed on an outpatient basis. However, every effort is made to ensure the shortest possible length of stay.

10. Are flexible days and times for consultations possible?
Yes. Dr. Kasrai and Dr. Fisher are pleased to work with patients and families to determine the most suitable consultation schedule possible.

11. What are the financial considerations?
Each patient and family will have individual circumstances regarding finances. For some, flight and accommodations may be the most significant issue. For others, exploring insurance coverage may be the most important concern. The Hospital for Sick Children and St. Joseph's Health Centre will work with you and your family to outline the unique details of your situation, consider payment plans and examine the financial options available.