Long-term results of atresiaplasty in patients with congenital aural atresia

Abstract

Surgery for CAA is a demanding operation with variable anatomical and hearing outcomes. Atresiaplasty operations should be centralized to hospitals with large numbers of such patients to ensure sufficient levels of surgical experience. Bone-anchored hearing devices or middle-ear implants should be considered as a first-line option because they offer good hearing predictability.

Long-term Outcomes of Bone Conduction Hearing Implants in Patients With Bilateral Microtia-atresia

“…A postoperative mean hearing threshold of ≤30 dB HL has been reported to be a good hearing result in patients with microtia-atresia (3,7,27). All 59 of our patients attained this threshold.…”

“…However, this procedure is difficult because of altered landmarks, abnormal anatomy of the facial nerve, and the limited space of the middle ear. Furthermore, reconstruction of the externa ear canal requires long-term follow-up, and complications such as canal restenosis and chronic infections are common (3). Surgical attempts at ear canal reconstruction may be considered unreasonable or risky, and these procedures should be performed only in patients who meet specific anatomic criteria (4,5).…”

Long-term Outcomes of Clip Coupler Implantation in Patients with Unilateral Congenital Aural Atresia

“…[4][5][6][7] Adequate benefit from conventional hearing rehabilitation, including canalplasty and ossiculoplasty, can be difficult to achieve due to insufficient hearing improvement, skin problems, inflammation, tympanic membrane lateralization, and restenosis of the reconstructed ear canal. 8,9 Many individuals seek other surgical interventions to improve their hearing. In 2006, a new treatment option with an active middle ear implant-the Vibrant Soundbridge (VSB) (Med-EL, Innsbruck, Austria)-was first reported by Colletti and colleagues.…”

Clinical Trial for Cartilage Conduction Hearing Aid in Indonesia

“…Microtia patients have three main problems, namely functional, aesthetic, and psychosocial problems [1]. Microtia surgery has been proved to lower psychological stressors which may impact the mental development of children with microtia [2]. Hearing habilitation for infants and children with microtia who are still in developing age should be performed without waiting for reconstructive surgery.…”

“…When children become old enough to undergo ear reconstruction surgery, hearing habilitation can be assisted by performing atresiaplasty. Hearing improvement becomes one of valuable outcomes of microtia reconstruction surgery [2]. About 64% patients gain significant hearing improvement after atresiaplasty.…”