A ten-year-old boy has been given a new ear by
doctors who built the organ from scratch using one
of his ribs.
Alfie Hazell was born with an ear lobe but no ear
structure or canal on his left side.
This was due to him suffering hemifacial
microsomia – a congenital disorder that affects the
development of the lower half of the face, most
commonly the ears and mouth.

Alfie Hazell, 10, was given a new left ear (pictured)
by surgeons at Great Ormond Street Hospital who
made it out of one of his ribs. They used skin
grafts to cover the new ear structure
It can occur on just one side of the face or one both
and can cause problems with breathing. It is the
second most common facial birth defect after
clefts.
Now, surgeons at Great Ormond Street Hospital
have built Alfie a brand new ear.
His mother, Catherine, 41, said the amazing
procedure has transformed her son’s life.
She said: ‘Alfie has been so brave, and we’re so
proud of him. The new ear means that Alfie won’t
have to deal with people staring any more.

Alfie was born with hemifacial microsomia – a
congenital disorder that affects the development of
the lower half of the face. It meant he had a left ear
lobe but no outer ear or ear canal
‘He has coped with people making comments
about his appearance all his life. Ever since he
was small he hid behind our legs when he met new
people, and always hid his left side.
‘When he was three, a group of older boys
surrounded us while we were on a train and
pointed and laughed at him.
‘Even though he was very young, the experience
affected Alfie for years afterwards, it was deeply
traumatic and really set his confidence back a long
way.
‘When Alfie was five, a girl told him his appearance
made her feel sick. Those are the sorts of
reactions that he had to get used to. He had to do a
lot of growing up in a short space of time.

Alfie (pictured as a baby) was told he had to wait
until he was nine-years-old before he could have
the procedure as his ribs needed to mature
sufficiently

Alfie’s mother, Catherine (pictured with Alfie and
his brothers, Joseph and Toby), said: ‘Alfie has
been so brave, and we’re so proud of him. The new
ear means that Alfie won’t have to deal with people
staring any more’
Mrs Hazell, a childminder, and her husband Ben,
40, a business development manager, were keen to
give Alfie the power to decide the course of his
life-changing treatment.
Doctors had advised the family, of Harpenden,
Hertfordshire, that Alfie needed to wait until he was
nine-years-old before they could operate to allow
enough time for his ribcage to develop.
‘Some people with Alfie’s condition choose not to
have reconstructive surgery. The staff at Great
Ormond Street said our options were to do nothing,
to fit a prosthetic or to have a rib graft.

Alfie was too scared to look at his new ear until he
was in the car going home from the hospital

He had to have a skin graft taken from his head
(pictured) to cover and support the new ear
‘I was keen that Alfie was able to make the
decision himself. Ben and I encouraged him to
speak to consultants directly during appointments,
as if he was one of the adults.’
In April 2011, Alfie decided that he wanted to go
ahead with the rib graft procedure which would
involve two operations.
The first operation, which involved putting the
newly shaped rib bone into place, was carried out
a year later.
The procedure involved a section of bone and
cartilage from one of Alfie’s ribs being used to
build the missing ear structure. Skin grafts were
then applied to cover the bone.

Alfie was so happy when he first saw his new ear
that he took a photo of it on his phone and sent it to
all of his friends and family
Alfie has been deaf on his left side since birth and
although the new ear does not allow him to hear, he
will have the option to implant a hearing aid later in
life.
Then, in March 2013, the final procedure to fill out
the ear structure using skin grafts was
successfully completed.
Mrs Hazell said: ‘When they took the bandage off,
Alfie was so nervous that he didn’t want to look at
the left side of his face at first.
‘It was only when we were in the car going home
from the hospital that he felt brave enough to take a
picture of his new ear and look at it.
‘He was so happy when he saw what it looked like
– he sent pictures to everyone to show off.’
It is possible that Alfie will require further surgery
in the future to correct the alignment of his jaw and
teeth.

It is possible that Alfie (pictured with his new ear)
will require further surgery in the future to correct
the alignment of his jaw and teeth
Mr and Mrs Hazell have been given support
throughout Alfie’s journey by charities Changing
Faces and Microtia Mingle.
Alfie’s brothers, five-year-old Joseph, and Toby,
nine, have been drafted in to look out for their big
brother through the lengthy healing process.
Mrs Hazell said: ‘We had to explain to the boys
that they need to be careful during rough-and-
tumble games. If Alfie damages his ear there could
be an infection or it might need to be rebuilt, so we
have to be careful.
‘He’s also had to sit out of PE at school, but he’s
been very understanding about the situation.’
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