Integrated Microtia and Aural Atresia Management

Authors

Mai Thy Truong
Yi-Chun Carol Liu
Jocelyn Kohn
Sivakumar Chinnadurai
David A Zopf
Melissa Tribble
Paul B Tanner
Kathleen Sie
Kay W Chang

Publication Date

1-1-2022

Journal

Frontiers in Surgery

DOI

10.3389/fsurg.2022.944223

PMID

36636584

PMCID

PMC9831057

PubMedCentral® Posted Date

12-26-2022

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

microtia, aural atresia, aural atresia surgery, microtia surgery, auricular reconstruction, ear canal stenosis, bone conduction implant (BCI), ear canal reconstruction

Abstract

OBJECTIVES: To present recommendations for the coordinated evaluation and management of the hearing and reconstructive needs of patients with microtia and aural atresia.

METHODS: A national working group of 9 experts on microtia and atresia evaluated a working document on the evaluation and treatment of patients. Treatment options for auricular reconstruction and hearing habilitation were reviewed and integrated into a coordinated care timeline.

RESULTS: Recommendations were created for children with microtia and atresia, including diagnostic considerations, surgical and non-surgical options for hearing management and auricular reconstruction, and the treatment timeline for each option. These recommendations are based on the collective opinion of the group and are intended for otolaryngologists, audiologists, plastic surgeons, anaplastologists, and any provider caring for a patient with microtia and ear canal atresia. Close communication between atresia/hearing reconstruction surgeon and microtia repair surgeon is strongly recommended.