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


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.

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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.

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Correspondence to Asma Abdullah.

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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).

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  • Congenital microtia
  • Reconstructive surgical procedure
  • Abscess
  • Complication