Anotia Defect Repair using Costal Grafts This gentleman was born with anotia of the right ear with only a peanut sized rudimentary structure in place. Anotia is the congenital absence of the external ear. There was also complete absence of the external ear canal. His parents presented to our hospital for management of his ear deformity. It was explained to them that reconstruction would be done in two stages and they consented to the treatment plan. A template was first made using the left ear to ensure that the reconstructed right ear was symmetrical to the normal left ear. Costal rib graft with perichondrium was then harvested from the patient. The graft was crafted using the template. Markings were made in the region of the deformed right ear and a subcutaneous pocket was created. The crafted cartilaginous graft was placed in the pocket and the incision was closed with sutures. The second stage was then performed in six months with lifting up of the cartilaginous graft along with placement of a skin graft in the postauricular region. Skin graft was harvested from the inguinal region. This resulted in perfect reconstruction of his absent right ear. He and his parents were ecstatic with the final results of the surgery and profusely thanked the surgical team. 📞 Phone: +91 44 4294 7222 📬 Email: [email protected] 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #anotia #costalgraft #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #eardefect https://www.instagram.com/p/CDTo0Kgn8U1/?igshid=1vxdvckriymi7