Dear Patients, As COVID-19 continues to spread, the healthcare system is changing to keep everyone safe. Following the guidelines set forth by the CDC, WHO, Department of Health, and our state and federal officials, we are adapting new practice patterns to maintain your care while protecting the health of all of our patients and employees. Below are the steps we will be taking to help flatten the curve. • In accordance with the State of Emergency we require that all patients and visitors wear a facial covering/mask • All patients and visitors will be screened and examined for symptoms of illness prior to entering the office. • We are decreasing our schedules to comply with social distancing. • Our practitioners will determine what essential, urgent cases need to remain on the schedule and seen in the office. Patients scheduled for non-essential or elective services will be rescheduled. • We have our clinical teams working diligently to assist patients through telephone and non-contact methods of communication. • Virtual visits (telemedicine) for appointments that video conferencing is appropriate. • Staff members are available via phone Monday thru Friday from 8 am-4 pm to answer your questions and assist you with scheduling. We have implemented more stringent sterility procedures • Only scheduled patients will be allowed into the building, exceptions are patients under the age of 18 or handicap/disabled (only one companion will be allowed to accompany with these exceptions). If someone accompanies you, they will be asked to wait in the car. • Our waiting room will be arranged for social-distancing. • In an effort to limit patients in waiting rooms, after you check in you will be taken to exam room to wait for your provider. • All exam rooms will be thoroughly cleaned with approved disinfectant between each patient. • Remember if you are experiencing or have come in contact with someone experiencing fever, cough, shortness of breath, sore throat or respiratory issues, have been in contact with anyone that has the Coronavirus, have traveled out of the country in the last 14 days, have been on a cruise ship in the last 14 days or have been hospitalized within the past 30 days, please stay home, we will reschedule your appointment. We are monitoring this situation on a daily basis and will continue to provide updates should there be any changes. We appreciate your patience and the support through this challenging time. Stay safe and healthy!

Microtia is a term referring to a significantly malformed, poorly developed external ear. While it is relatively uncommon, it appears to be more prevalent in Central and South America than in North America. Both genetic and environmental factors are thought to play a role in the development of the anomaly, though a specific genetic marker has not been found. The severity of microtia can vary from case to case.

Grade I: The pinna is malformed and smaller than normal. Most of the characteristics of the pinna, such as the helix, triangular fossa, and scaphae, are present with relatively good definition.
Grade II: The pinna is smaller and less developed than in grade I. The helix may not be fully developed. The triangular fossa, scaphae, and antihelix have much less definition.
Grade III: This is considered the classic microtia. The pinna is essentially absent, except for a vertical sausage-shaped skin remnant. The superior aspect of this sausage-shaped skin remnant consists of underlying unorganized cartilage, and the inferior aspect of this remnant consists of a relatively well-formed lobule.
Anotia: Total absence of external ear (pinna).

It can take three to four separate surgical procedures over a course of a year or longer to complete the transformation. The first stage is the longest and probably the most complicated. It involves creating the auricular framework with rib cartilage. The second stage, lobule (earlobe) transposition is performed at least two months after the first stage. The third stage involves elevating the auricular framework which was created in stage one. The fourth stage involves constructing the tragus. The outcome from these procedures are remarkable and the smiles on the individuals face say it all.

To learn more about microtia and/or to help support the HUGS Foundation please click here or call the office at (302) 998-8007.