Bilateral Microtia Reconstruction

  • Claire van Hövell tot Westerflier
  • Youssef TahiriEmail author
  • John F. Reinisch


Bilateral microtia is sufficiently different from unilateral microtia that it should not be seen as two unilateral microtias in the same patient. The most important difference is the presence of a bilateral conductive hearing loss, which must be treated at a young age with a bone conductive hearing device to provide useable hearing. Early hearing is critically important for a child’s speech and language development. In this chapter we will discuss the various differences between unilateral and bilateral microtia and how these differences affect the surgical approach.


Bilateral microtia Bilateral aural atresia Hearing loss Syndromes Bilateral ear reconstruction 

Supplementary material

Video 11.1

A 3.5-year-old boy with bilateral microtia and atresia. His reconstructive journey involved only two surgeries, 5 months apart. He underwent successful bilateral combined atresia microtia reconstruction (MOV 2996 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Claire van Hövell tot Westerflier
    • 1
  • Youssef Tahiri
    • 2
    Email author
  • John F. Reinisch
    • 3
    • 4
  1. 1.University Medical Center Utrecht, Department of Pediatric Plastic Surgery, Utrecht UniversityUtrechtThe Netherlands
  2. 2.Plastic and Reconstructive SurgeryCedars-Sinai Medical CenterLos AngelesUSA
  3. 3.Keck School of MedicineUniversity of Souther CaliforniaLos AngelesUSA
  4. 4.Craniofacial and Pediatric Plastic SurgeryCedars Sinai Medical CenterLos AngelesUSA

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