Auricular of the Auricle for Microtia

The patient was a 24 year old male who had a three year history of difficulty hearing. Audiometric testing revealed a 40 dB conductive hearing loss in the left ear. A diagnosis of otosclerosis was made and the middle ear explored. A prominent bony ridge was present along the superior and inferior portion of the oval window nitch which restricted access to the stapes footplate. The inferior portion was amiable to a stapedectomy but access was restricted and would not allow placement of a 0.8 mm or 0.6 mm prosthesis. In this situation, two techniques may be utilized.
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Removal of the existing footplate and placement of a tissue graft and placement of a 0.4mm prosthesis or a House Wire.
A Skeeter Drill can be used to thin and remove bone next to the inferior portion of the footplate and then the surgeon's standard technique can be used. Drilling superiorly must be done with extreme care because of the facial nerve.

Consultation with a medical doctor for an accurate diagnosis and discussion of risks and complications is needed in order to determine the best treatment options for a patient's condition.

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