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- Title
Management of hearing loss and the normal ear in cases of unilateral Microtia with aural atresia.
- Authors
Billings, Kathleen R.; Qureshi, Hannan; Gouveia, Christopher; Ittner, Colleen; Hoff, Stephen R.
- Abstract
<bold>Objectives/hypothesis: </bold>To identify the rate of hearing loss related to middle ear disease and the frequency of tympanostomy tube (TT) insertion in the contralateral ear of patients with unilateral microtia/aural atresia.<bold>Study Design: </bold>Retrospective case series of patients less than 3 years of age with unilateral microtia/aural atresia treated at an urban, tertiary care children's hospital from 2008 to 2013.<bold>Methods: </bold>Clinical and audiologic data were reviewed. Statistical analysis was performed to determine the relative risk of TT insertion in the normal ear.<bold>Results: </bold>A total of 72 patients were included for analysis. The average age of patients at their initial otolaryngology visit was 3.3 months (range 0.08-1.67 years); 38 (52.8%) patients were males. Aural atresia involved the right ear in 43 (59.7%) cases. Five (6.9%) patients were syndromic. Abnormal audiometric testing of the normal ear was noted in 12 (16.7%), and 14 (19.4%) underwent TT during the first 3 years of life. Twelve children (85.7%) who had a TT placed were nonsyndromic. When compared to published norms for TT placement in the general population (6.8% of children < 3 year of age), a greater proportion of children with unilateral microtia/aural atresia had TT placement in the normal ear (z = 4.26, P < 0.0001).<bold>Conclusion: </bold>Patients with unilateral microtia/aural atresia have increased rates of hearing loss and middle ear effusion leading to TT in their normal ear at a higher rate versus the general population. This information can help guide more vigilant care and audiologic follow-up in affected children.<bold>Level Of Evidence: </bold>4. Laryngoscope, 126:1470-1474, 2016.
- Subjects
TREATMENT of deafness; EAR abnormalities; EAR surgery; TERTIARY care; OTOLARYNGOLOGY; AUDIOMETRY; EXTERNAL ear abnormalities; HUMAN abnormalities; HEARING disorders; EAR; MIDDLE ear ventilation; RETROSPECTIVE studies; SURGERY
- Publication
Laryngoscope, 2016, Vol 126, Issue 6, p1470
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.25530