Contemporary solutions for patients with microtia and congenital aural atresia – Hong Kong experience

Tsang, Willis S. S.; Tong, Michael C. F.; Ku, Peter K. M.; Bhatia, Kunwar S.; Yu, Joannie Ka Yin; Wong, Terence K C; Hasselt, C. Andrew van

doi:10.1016/j.joto.2016.11.001

Cited by 9 publications

(16 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12,13 Surgical microtia reconstruction opens options such as atresiaplasty or the implantation of a bone conduction implant such as a bone-anchored hearing aid (BAHA) or Bonebridge device to improve hearing. 14 Preoperative evaluation is performed using audiometry in addition to the Jahrsdoerfer grading scale based on temporal bone anatomy. 15 The latter plays an important role in determining candidacy for atresiaplasty, as scores of 7 or higher are highly predictive of favourable hearing outcomes.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Reconstructive Techniques in Pediatric Congenital Microtia: A Systematic Review and Meta-analysis

Kim,

Namavarian,

Khan

et al. 2024

Facial Plast Surg

View full text Add to dashboard Cite

Objective: Autografts and allografts are commonly used in microtia reconstruction. We aimed to systematically review and compare these reconstructive materials in pediatric congenital microtia reconstruction. Data Sources: A systematic review of the literature was performed. MEDLINE, Embase, PubMed, Web of Science, and CINAHL databases were searched for original studies on congenital microtia reconstruction in pediatric patients since database inception to 2021. Methods: Microtia grade was stratified as high or low. Meta-analysis of pooled proportions and continuous variables was performed using inverse variance weighting with a random effects model to compare between the autograft and allograft groups. Results: Sixty-eight studies with a total of 5546 patients used autografts (n=5382) or alloplastic implants (n=164). Four other studies used prosthesis, cadaveric homografts, or tissue engineering. The allograft group was on average younger than the autograft group (8.4 vs 11.1 years). There were no syndromic patients in the allograft group, compared to 43% in the autograft group. Patients treated with allografts had higher microtia grade than those treated with autograft (98% vs. 72%). Autografts were more commonly utilized by plastic surgeons and allografts by otolaryngologists (95% vs. 38%). No autografts and 41% of allografts were done concurrently with atresiaplasty or bone conduction implant. Satisfaction rates were similarly high (>90%) with similar complication rates (<10%). Conclusion: Microtia reconstruction using autografts and allografts had similar satisfaction and complication rates. Allografts were preferred for younger patients and concurrent hearing restoration. Further large-scale studies are required to evaluate the long-term efficacy of these reconstructive techniques.

show abstract

Section: Accepted Manuscriptmentioning

confidence: 99%

Reconstructive Techniques in Pediatric Congenital Microtia: A Systematic Review and Meta-analysis

Kim,

Namavarian,

Khan

et al. 2024

Facial Plast Surg

View full text Add to dashboard Cite

show abstract

“…Хирургическая реконструкция и пластика отсутствующей ушной раковины не всегда успешна и сопряжена с развитием осложнений [5][6][7][8][9][10][11]. Альтернативным решением этой проблемы является протетическая реконструкция с помощью силиконовых эктопротезов (эпитезов) [12,13], которые, как правило, фиксируют на экстраоральные имплантаты, установленные в височную кость по месту отсутствующей естественной ушной раковины [14,15].…”

Section: исследование | Researchunclassified

Clinical and microbiological aspects of the auricle prosthetic reconstruction

et al. 2022

View full text Add to dashboard Cite

Relevance. Plastic and reconstructive surgery of the missing outer ear is not always successful and may cause complications. Prosthetic reconstruction using silicone ectoprostheses (epitheses) is an alternative solution to this problem. Purpose – the study aimed to verify clinical and microbiological protocol of prosthetic rehabilitation of patients with a missing auricle using temporary silicone epitheses during implant osseointegration placed for the final magnet-bar retention system and assessment of the prosthetic reconstruction effe ctiveness.Materials and methods. The study compared and analyzed the quality of life and microbial colonization of the skin biotope in the main group patients – with temporary silicone auricle epithesis during extraoral implant osseointegration and in the control group without such prostheses. Quality of life was assessed before and after treatment using the automated questionnaires (WHOQOL-BREF and QL PAER) developed by us for mobile devices. We determined the quantitative and qualitative composition of the skin microbiota behind the ear in all patients with fixed silicone samples for seven days.Results. According to all domains of the "WHOQOL-BREF" and "QL PAER" questionnaires, an integral index of QLI (p < 0.05) was reliably higher after prosthesis fixation in the main group. Skin biotope colonization by strains of resident microorganisms in the region of Technovent silicone epithesis increased if B-460 glue was applied, and the water-soluble G609 glue did not have a similar effect.Conclusion. A digital protocol for the manufacture of a temporary silicone epithesis of the auricle for the period of extraoral implant osseointegration, with the fixation on a water-soluble glue, improves the quality of life of patients with anotia and minimizes microbial colonization of the biotope of t he skin behind the ear.

show abstract

“…Hearing problems at a young age may cause learning difficulties, delayed speech and poor sound localisation. Hearing issues should therefore be addressed early . At birth, a microtia patient should be carefully examined for the presence or absence of an external auditory meatus.…”

Section: Hearingmentioning

confidence: 99%

“…Hearing issues should therefore be addressed early. 9 At birth, a microtia patient should be carefully examined for the presence or absence of an external auditory meatus. A total of 75-90% of microtia is accompanied with aural atresia with a variety of middle ear abnormalities, causing a fixed congenital hearing loss.…”

Section: Hearingmentioning

confidence: 99%

Auricular reconstruction

Cubitt

Chang

Liang

et al. 2019

J Paediatrics Child Health

View full text Add to dashboard Cite

External ear abnormalities are common. These may affect ear shape, size, prominence and degree of development. They may also be associated with hearing loss. The early identification and management of hearing loss is essential. There are several options for reconstruction of the external ear using both autologous and non‐autologous techniques. The aim of this article is to outline the different reconstructive options.

show abstract

Contemporary solutions for patients with microtia and congenital aural atresia – Hong Kong experience

Cited by 9 publications

References 7 publications

Reconstructive Techniques in Pediatric Congenital Microtia: A Systematic Review and Meta-analysis

Reconstructive Techniques in Pediatric Congenital Microtia: A Systematic Review and Meta-analysis

Clinical and microbiological aspects of the auricle prosthetic reconstruction

Auricular reconstruction

Contact Info

Product

Resources

About