Microtia

Microtia is a congenital condition in which the external ear (pinna) is underdeveloped or entirely absent. Most commonly affecting one ear—usually the right—it occurs in approximately one out of every 8,000 to 10,000 births. In some cases, microtia may be associated with hearing loss due to the absence or malformation of the ear canal, and it may present as part of a broader syndrome such as Treacher-Collins or Goldenhar syndrome.

Grades

  • Grade I: slightly small ear, identifiable structures present

  • Grade II: partial ear, canal narrowing or absence

  • Grade III: most common – small vestigial lobule or “peanut,” no canal/tunnel

  • Grade IV (anotia): complete absence of external ear

Surgical Process and Recovery

Ear reconstruction is a multi-stage process involving meticulous planning and execution. The first stage typically involves the creation and placement of the ear framework. In cartilage reconstruction, additional stages refine the ear’s shape and position. If hearing restoration is indicated, surgery may include canal reconstruction or the placement of a BAHA implant. Dr. Jarrahy’s extensive experience ensures optimal surgical outcomes and minimal complications. Postoperative care includes regular follow-up visits, wound management, and monitoring of hearing function.

  • “Dr. Jarrahy is the most exceptional teacher, mentor and physician I have had in my career.His dedication to his students and patients is unparalleled. He deserves every accolade known to mankind. I cannot endorse him enough. I owe him so much of my career. He enabled me to match into plastic surgery at Stanford and has guided my career like a guardian angel.”

  • “Thank you so much for the excellent care.

    With much gratitude”

  • “Dr. Jarrahy, there are very few people I would consider both personal & professional mentors/role models. I greatly appreciate your guidance in the technical arts of surgery, but maybe even more so, admire your genuine passion for connecting deeply & authentically with others.The value you place on relationships/human connection was clearly evident and I aspire to bring this element to my future endeavors, regardless of the setting. I admire your life priorities & balance, which I think very few in medicine, let alone surgery, do well.”

  • “Dr. Jarrahy is the best!! As a medical student Dr. Jarrahy was my mentor and he cares so much about education and the well-being of his students. Amazing teacher and great person to be around.”

  • “Excellent teacher, takes time to teach residents, allows autonomy to improve surgical education while providing adequate supervision.”