An Unusual Delayed Complication of Rib Graft Microtia Reconstruction After Two Decades: A Case Report

Abstract

Microtia comprises a spectrum of congenital malformation characterized by partial deformities of the auricular components to complete absence of pinna. Surgical reconstructions of this anomaly are often complex and technically challenging. Infection, hematoma, and skin necrosis with resultant exposed cartilage graft tend to occur in the early phase of post-operative care. Herein, we report a case of a spontaneous auricular abscess with exposed cartilage framework 20 years following rib cartilage reconstruction. To our knowledge, this is the first case of such an occurrence. The treatment options are discussed, along with the review of the literature.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2

References

  1. 1.

    Cuccolo NG, Zwierstra MJ, Ibrahim AMS et al (2019) Reconstruction of congenital microtia and anotia: analysis of practitioner epidemiology and postoperative outcomes. Plast Reconstr Surg Glob Open 7(6):e2318

    Article  Google Scholar 

  2. 2.

    Baluch N, Nagata S, Park C et al (2014) Auricular reconstruction for microtia: a review of available methods. Plast Surg (Oakv) 22(1):39–43

    Article  Google Scholar 

  3. 3.

    Long X, Yu N, Huang J et al (2013) Complication rate of autologous cartilage microtia reconstruction: a systemic review. Plas Reconstr Surg Glob Open 1(7):e57

    Article  Google Scholar 

  4. 4.

    Fu YY, Li CL, Zhang JL et al (2019) Autologous Cartilage Microtia Reconstruction: complications and risk factors. Int J Pediatr Otorhinolaryngol 116:1–6

    Article  Google Scholar 

  5. 5.

    Park C, Yoo YS, Park HJ et al (2010) An analysis of the bacterial flora found in the external auditory canals of microtia patients: results and clinical applications. Ann Plast Surg 65(2):197–200

    CAS  Article  Google Scholar 

  6. 6.

    Oyama A, Sasaki S, William M et al (2008) Salvage of cartilage framework exposure in microtia reconstruction using a mastoid fascia flap. J Plast Reconstr Aesthet Surg 61:110–113

    Article  Google Scholar 

  7. 7.

    Hirase Y, Kojima T, Hirakawa M (1990) Secondary ear reconstruction using deep temporal fascia after temporoparietal fascia reconstruction in microtia. Ann PlastSurg 25(1):53–57

    CAS  Google Scholar 

  8. 8.

    Reinisch JF, Van Hovell tot Westerflier C, Gould DJ et al (2020) secondary salvage of the unsatisfactory microtia reconstruction. PlastReconstrSurg 145(5):1252–1261

    CAS  Google Scholar 

  9. 9.

    Cugno S, Bulstrode NW (2019) Cartilage exposure following autologous microtia reconstruction: an algorithmic treatment approach. J Plast Reconstr Aesthet Surg 72(3):498–504

    Article  Google Scholar 

Download references

Funding

The author(s) received no specific funding for this work.

Author information

Affiliations

Authors

Contributions

GJT was responsible in manuscript drafting and writing, manuscript concept and design, data collection and/or processing. MM was responsible in supervising, manuscript reviewing and editing. AA was responsible in supervising, manuscript reviewing and editing, and gave final approval of the version to be published.

Corresponding author

Correspondence to Asma Abdullah.

Ethics declarations

Conflict of interest

The author(s) declare no conflict of interest.

Informed Consent

Written consent was obtained from the patient for publication of this case report and accompanying images.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Tuang, G.J., Mansor, M. & Abdullah, A. An Unusual Delayed Complication of Rib Graft Microtia Reconstruction After Two Decades: A Case Report. Indian J Otolaryngol Head Neck Surg (2021). https://doi.org/10.1007/s12070-020-02316-8

Download citation

Keywords

  • Congenital microtia
  • Reconstructive surgical procedure
  • Abscess
  • Complication