Integrated microtia and aural atresia management

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

doi:10.3389/fsurg.2022.944223

Integrated microtia and aural atresia management

Front Surg. 2022 Dec 26:9:944223. doi: 10.3389/fsurg.2022.944223. eCollection 2022.

Authors

Mai Thy Truong¹, Yi-Chun Carol Liu^{2

3}, Jocelyn Kohn⁴, Sivakumar Chinnadurai^{5

6}, David A Zopf⁷, Melissa Tribble⁸, Paul B Tanner⁹, Kathleen Sie¹⁰, Kay W Chang¹

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA.
² Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX.
³ Division of Pediatric Otolaryngology, Texas Children's Hospital, Houston, TX.
⁴ Department of Otolaryngology-Head and Neck Surgery, Stanford Children's Hospital/Packard Children's Health Alliance, Walnut Creek, CA.
⁵ Children's Minnesota Pediatric Otolaryngology and Facial Plastic Surgery, Minneapolis, MN.
⁶ Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, MN.
⁷ Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI, USA.
⁸ Department of Audiology, Lucile Packard Children's Hospital at Stanford University, Palo Alto, CA.
⁹ Department of Surgery, University of Utah, Facial Prosthetics, Salt Lake City, UT, USA.
¹⁰ Department of Otolaryngology-Head and Neck Surgery, University of Washington/Seattle Children's Hospital, Seattle, WA.

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.

Keywords: aural atresia; aural atresia surgery; auricular reconstruction; bone conduction implant (BCI); ear canal reconstruction; ear canal stenosis; microtia; microtia surgery.

Publication types

Review