Ali Kausar, Mohan Kriti, Liu Yi-Chun
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine.
Department of Otolaryngology, Michael E. DeBakey Department of Surgery, Baylor College of Medicine.
Semin Plast Surg. 2017 Aug;31(3):127-133. doi: 10.1055/s-0037-1603957. Epub 2017 Aug 9.
Microtia is a congenital auricular deformity that commonly presents with associated congenital aural atresia. The most acute concern in these patients is concomitant hearing loss at birth. A team-based approach by plastic surgeons and otologists is necessary to address both the otologic and audiologic concerns of microtia and atresia. Hearing rehabilitation is imperative; yet it should not compromise the aesthetic components of reconstruction and vice versa. Here, the authors propose a framework to evaluate and manage patients with microtia and atresia with the goal of optimizing functional and cosmetic outcomes.
小耳畸形是一种先天性耳廓畸形，常伴有先天性耳道闭锁。这些患者最迫切需要关注的是出生时即存在的听力损失。整形外科医生和耳科医生采用团队协作的方法对于解决小耳畸形和耳道闭锁患者的耳科及听力学问题很有必要。听力康复至关重要；但它不应影响重建手术的美学效果，反之亦然。在此，作者提出一个框架，用于评估和管理小耳畸形及耳道闭锁患者，目标是优化功能和美容效果。
