Professor Shuzhong Guo is one of the most experienced Microtia surgeons in the world — performing over 1,000 ear reconstructions every year and more than 8,000 in total. Based in China, where Microtia rates are higher and surgical demand is significant, Prof. Guo has developed unmatched expertise and refined a pioneering tissue expansion + rib cartilage technique now widely used for its natural colour match, reduced scarring, and long-term stability.
Microtia affects families differently around the world:
• UK: 1 in 6,000
• United States: 1 in 10,000
• China: 3 in 10,000
• Latin America: the highest known rate — up to 17 in 10,000
In this episode, Prof. Guo explains why these variations exist, touching on environmental factors such as pollution, chemicals, and radiation exposure, as well as genetic influences and cultural differences in how families cope, seek support, and make decisions.
If you want to truly understand Microtia — its causes, treatment options, emotional impact, and global context — this episode will teach you more than any guide, article, or Google search ever could.
⏱️ Chapters
00:00 Introduction & Prof. Guo’s Background
01:14 Why Microtia Is More Common in China
02:23 Tissue Expansion Technique Explained
03:55 Cartilage vs Medpor — Long-Term Outcomes
06:33 Hearing Options: BAHA, Bonebridge & More
07:30 The Emotional Impact on Families
08:37 Cultural Differences: China vs The West
10:44 Best Age for Rib Cartilage Reconstruction
11:55 How Children Cope Emotionally
13:21 Treating International Patients
14:20 Why Medpor Is Less Common in China
16:53 First Stage Surgery Explained
18:38 Second Stage Surgery + Recovery
19:07 Live Look at Patients Operated on That Morning
23:04 Skin Expansion in Children
27:20 Environmental & Genetic Causes of Microtia
30:11 Advice to Worried Parents
32:27 Final Message to Families Worldwide
⭐ Takeaways
• Prof. Guo performs 1,000+ Microtia surgeries per year, giving him extraordinary experience.
• His tissue expansion + rib cartilage technique offers natural colour match and minimal scarring.
• Microtia occurrence varies globally due to genetics, environment, and population differences.
• Cultural attitudes strongly influence stigma, confidence, and a child’s emotional wellbeing.
• Many parents experience guilt — Prof. Guo explains why and how to move beyond it.
• Modern hearing devices often replace older canal reconstruction methods.
• Best surgical age is typically 7–11, when cartilage is ideal for shaping.
• Medpor is used less in China due to long-term complication concerns.
• Tissue expansion allows children to continue school between stages.
• You will see real patients operated on that morning, offering rare insight into immediate outcomes.
👨⚕️ Guest: Professor Shuzhong Guo (MicrotiaMD)
📸 Instagram: @microtiamd
🌐 microtiamd.com
Contact details: [email protected]
🎙 Hosted by: Sasha Gardner
Sasha Says… — A global space for Microtia stories, education, and support.
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✨ Please share this video to support Microtia awareness worldwide
⚠️ Disclaimer:
This podcast does not promote or encourage surgery. Our goal is to provide knowledge, options, and education so each family can make the decision that feels right for them.
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