 Classic Microtia Patient Before Surgery | Patient After Surgery | 
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Atypical Microtia with a well-formed concha and tragus Patient Before Surgery | Patient After Surgery | 
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Classic Microtia Patient Before Surgery | Patient After Surgery | 
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Classic Microtia Patient Before Surgery | Patient After Surgery | 
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Microtia in the setting of hemifacial microsomia. The facial reconstruction in this case is complex and required jaw surgery and microsurgical augmentation of the cheek tissue, as well as ear reconstruction. One challenge in a patient such as this is that the ear remnant is often very low and sometimes must be moved to a higher position in the process of building an ear. Patient Before Surgery | Patient After Surgery | 
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Treacher Collins Syndrome. Patients with this condition frequently have microtia and aural atresia. In those patients who do, it is always bilateral. These patients also have deficient cheek bones and characteristic lower eyelid deformities. The ear reconstructions are particularly challenging because the hairline is usually low and it may be necessary to construct an auricle which is slightly smaller than average so that it will not be covered with hair. Treacher Collins patients who have microtia/aural atresia all require hearing aids because of the bilateral involvement. Patient Before Surgery | Patient After Surgery | 
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Prosthetic Reconstruction -- Adult patient.
Occasional patients are better reconstructed with an artificial ear rather than building an ear from their own tissues. This adult patient underwent removal of the ear because of a tumor and the ear was reconstucted with a prosthesis. The prosthesis attaches to the side of the head using the metal mechanism shown in the photograph.
Patient Before Surgery | Patient After Surgery | 
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Prosthetic Reconstruction -- Pediatric patient.
Although most children who are born without ears are best treated by constucting an ear from their own tissues, an occasional child is born with a situation which makes the usual reconstruction difficult. This child was born with almost no ear remnant at all, very tight skin, and an exceptionally low hairline. Although there are ways to get around these problems surgically, it was decided to constuct a prosthetic ear for this patient. The ear attaches to the side of the head with a mechanism similar to the one shown in example # 7. Patient Before Surgery | Patient After Surgery | 
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