Hartzell Larry D, Chinnadurai Sivakumar
Department of Otolaryngology Head and Neck Surgery, Division of Pediatric Otolaryngology, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, 1 Children's Way, Slot 836, Little Rock, AR 72202, USA.
Children's ENT and Facial Plastic Surgery, Children's Hospitals and Clinics of Minnesota, 2530 Chicago Avenue, Suite 450, Minneapolis, MN 55404, USA.
Clin Perinatol. 2018 Dec;45(4):679-697. doi: 10.1016/j.clp.2018.07.007. Epub 2018 Sep 18.
Infants may be born with external ear deformities or malformations that can present a diagnostic clue to an affiliated syndrome while also presenting the possibility of surgical intervention. Microtia is a malformation of the ear that is associated with other craniofacial or systemic anomalies in 50% of cases. Surgical correction of microtia and associated facial anomalies is complex and must be integrated thoughtfully into the overall care plan for children with complex medical needs. Familiarity with types of ear and facial anomalies and their association with more global concerns can allow perinatal practitioners to better serve their patients.
婴儿出生时可能患有外耳畸形,这些畸形可为相关综合征提供诊断线索,同时也存在手术干预的可能性。小耳畸形是一种耳部畸形,50%的病例与其他颅面或全身异常有关。小耳畸形及相关面部畸形的手术矫正很复杂,必须周全地纳入有复杂医疗需求儿童的整体护理计划中。熟悉耳部和面部畸形的类型及其与更广泛问题的关联,可使围产期从业者更好地为患者服务。