Contemporary Management of Microtia

Abrol, Anish; Bly, Randall A.; Sie, Kathleen C.Y.; Bhrany, Amit D.

doi:10.1055/a-1854-2352

Cited by 6 publications

(5 citation statements)

References 30 publications

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“…Clinically, 63.8% of patients presented with grade III microtia, predominantly affecting the right side (57.0%), in line with global trends (Abrol et al, 2022; Andrews & Hohman, 2023; Luquetti et al, 2012; van Nunen et al, 2014; Widodo et al, 2021; Wu et al, 2010). Given the high incidence of grade III microtia, a corresponding prevalence of hearing loss was expected.…”

Section: Discussionsupporting

confidence: 61%

Clinical profiling of pediatric microtia patients: A cross‐sectional analysis at a leading pediatric hospital in Ecuador (2015–2022)

Noroña,

Chamba,

Santamaria

et al. 2024

Birth Defects Research

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BackgroundMicrotia is a frequent congenital deformity of the pinna, often with hearing loss. This study reviews the clinical profiles of microtia pediatric patients treated at a referral hospital in Quito, Ecuador, from 2015 to 2022.MethodsA cross‐sectional descriptive study was carried out based on the analysis of medical records of pediatric patients with microtia treated between January 2015 and December 2022 at the Hospital Pediátrico Baca Ortiz in Quito, Ecuador. Descriptive statistics were used, and the Chi‐square test assessed associations between categorical variables.ResultsOf the 235 patients evaluated, 59.6% were male, 83.4% lived at high altitudes (2500–3500 m), and 19.1% had a family history of microtia. Grade III microtia was diagnosed in 63.8%, predominantly on the right side. Nearly all (99.1%) had hearing loss. Other anatomical alterations were observed in 27.7%, primarily the preauricular appendage. Bone vibrator implantation was a common treatment for 24.3%. Altitude did not show a significant correlation with microtia characteristics.ConclusionsMost patients had grade III microtia with associated hearing loss. Despite the high prevalence at elevated altitudes, no significant altitude‐disease correlation was found. The study highlights the need for further research on microtia in regions like Ecuador.

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Section: Discussionsupporting

confidence: 61%

Clinical profiling of pediatric microtia patients: A cross‐sectional analysis at a leading pediatric hospital in Ecuador (2015–2022)

Noroña,

Chamba,

Santamaria

et al. 2024

Birth Defects Research

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“…13,14,16 Autologous costochondral microtia reconstruction has been the favored surgical approach for many years which may be complemented by an earlier atresiaplasty if the child is an appropriate surgical candidate. [17][18][19] Adhesive-retained auricular prosthesis alternatively offer a nonsurgical option for select patients. 17,20 These reparative operations can come with financial and personal health costs to patients and their families that are exacerbated by significant disparities across a number of patient-level and hospital-level factors.…”

mentioning

confidence: 99%

“…[17][18][19] Adhesive-retained auricular prosthesis alternatively offer a nonsurgical option for select patients. 17,20 These reparative operations can come with financial and personal health costs to patients and their families that are exacerbated by significant disparities across a number of patient-level and hospital-level factors. Specific minority groups and patients from low-resource settings may be particularly impacted as previous studies have demonstrated a greater incidence of microtia in these patient populations.…”

mentioning

confidence: 99%

“…Notably, children with microtia report higher levels of depression and anxiety with decreased gains in social skills before surgical reconstruction but with significant improvement in these categories postoperatively 13,14,16 . Autologous costochondral microtia reconstruction has been the favored surgical approach for many years which may be complemented by an earlier atresiaplasty if the child is an appropriate surgical candidate 17–19 . Adhesive-retained auricular prosthesis alternatively offer a nonsurgical option for select patients 17,20 …”

mentioning

confidence: 99%

“…Autologous costochondral microtia reconstruction has been the favored surgical approach for many years which may be complemented by an earlier atresiaplasty if the child is an appropriate surgical candidate 17–19 . Adhesive-retained auricular prosthesis alternatively offer a nonsurgical option for select patients 17,20 …”

mentioning

confidence: 99%

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National Trends in Microtia Repair Cost and Hospital Length of Stay

Hauc,

Boroumand,

Hosseini

et al. 2023

Journal of Craniofacial Surgery

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Microtia can have deleterious impacts on the functional, psychological, and aesthetic outcomes of affected young children. Reconstructive procedures can alleviate these negative outcomes and significantly improve the quality of life for patients; however, the cost and length of hospital stay (LOS) for such procedures and the factors that impact them have not been well-characterized. This study seeks to understand the hospital-level (institution type, size, and geographic region) and patient-level factors (race, age, and insurance status) that impact cost and LOS in patients who undergo microtia reconstructive surgery. A retrospective data analysis was conducted utilizing the National Inpatient Sample (NIS) database for the years 2008 to 2015. Inclusion criteria included patients who had an International Classification of Diseases, Ninth Revision (ICD-9) diagnostic code for microtia (744.23) as well as a procedure for microtia correction (186×/187×). A total of 714 microtia repair cases met the inclusion criteria and were sampled from the NIS database. Microtia repair cost was significantly increased on the West Coast compared with the Northeast ($34,947 versus $29,222, P=0.020), increased with patient age ($614/y, P=0.012), and gradually increased from 2008 to 2015 ($25,897–$48,985, P<0.001). Microtia LOS was significantly increased with government-controlled hospitals compared with private hospitals (1.93 versus 1.39 d, P=0.005), increased with patients on Medicaid compared with private insurance (2.33 versus 2.00 d, P=0.036), and overall decreased with patient age (−0.07 d/y, P=0.001). The results not only identify the multifactorial impacts that drive cost and LOS in microtia repair but provide insights into the financial and medical considerations patients and their families must navigate.

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