Denoyelle F, Garabedian E N, Roger G, Belloc J B
Service d'Otorhinolaryngologie et de Chirurgie Cervico-Faciale, Hôpital d'Enfants Armand Trousseau, Paris.
Ann Pediatr (Paris). 1992 Oct;39(8):505-8.
Severe aplasia of the ear raises both a cosmetic and a functional problem. Surgery is often performed starting at four or five years of age but early management is essential. The need for a hearing aid should be evaluated at the age of six months. At birth, the infant should have investigations for concomitant malformations, which are common, and for etiologic factors. Functional surgery to create a canal, tympanic membrane, and chain of ossicles should be performed only in bilateral forms. Satisfactory cosmetic results can be achieved by cartilage autografting according to Brent's technique.
严重耳部发育不全既带来了外观问题，也带来了功能问题。手术通常在四五岁开始进行，但早期干预至关重要。六个月大时就应评估是否需要助听器。出生时，婴儿应接受相关检查，以排查常见的伴随畸形及病因。功能性手术，即创建耳道、鼓膜和听小骨链，仅适用于双侧病例。按照布伦特技术进行自体软骨移植可获得满意的外观效果。
