Microtia and cholesteatoma: Implications for the reconstructive surgeon

R. M. van Hogezand, A. L. Smit, C. C. Breugem

Research output: Contribution to JournalArticleAcademicpeer-review


Infection after reconstructive surgery for microtia is a technical challenge. This can be a sign of cholesteatoma formation by entrapment of epithelium in the middle or outer ear, specifically when the patient does not respond to first choice antibiotic therapy and debridement. Two patients with microtia presented themselves with severe infections after ear reconstruction. In both cases cholesteatoma was diagnosed as the cause of the infection. After cholesteatoma management an additional surgical procedure was necessary to improve the esthetic outcome. The plastic surgeon should identify possible signs of cholesteatoma after reconstruction of the auricle.
Original languageEnglish
Pages (from-to)37-42
Number of pages6
JournalJPRAS Open
Publication statusPublished - 1 Jun 2021


  • Cholesteatoma
  • Ear atresia
  • Microtia reconstruction

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