:: Treatment Options for Microtia
Depending on the degree of ear tissue formation, and the familys concerns for the childs social and psychological development, there are basically three treatment options for microtia.
No treatment - Patients and their families may feel the remaining ear tissue does not interfere with the childs social development, and believe the child is coping well with the abnormality. Most importantly, the child is not experiencing any negative social influences because of the ear deformity and is unconcerned with changing the physical appearance of the existing ear tissue.
Prosthesis - Various types of prosthetics are available to simulate normal ear tissue. Some offer better cosmetic results than others, however prosthetics rarely match skin tones well. They are always cooler to the touch and they have an artificial feel. Prosthetics may also require the insertion of surgical pins to ensure proper placement. Once the choice for an artificial prosthetic has been made, a patient cannot later opt for surgical ear reconstruction.
Surgical Ear Reconstruction - This specialized treatment is offered by a small number of pediatric plastic surgeons. Techniques may vary somewhat, each with its own advantages and disadvantages. The surgical technique offered by Drs. Kasrai and Fisher is the most advanced currently available, and is known as the
Nagata technique. The procedure uses the childs own skin and tissue to construct a permanent ear structure. This technique has been praised by physicians, patients and parents around the world as the superior approach for the treatment of microtia.