Eavey R D
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston.
Arch Otolaryngol Head Neck Surg. 1995 Jan;121(1):57-62. doi: 10.1001/archotol.1995.01890010045008.
To study congenital auricular malformation, an uncommon but serious condition. The literature about auricular malformation separates the medical, otologic, and auricular reconstructive elements; this study addresses all elements in a single report.
A retrospective chart analysis of patients with microtia and severe auricular malformation from initial presentation through surgical reconstruction for those of appropriate age.
A single author's experience in a practice at a referral institution.
Ninety-two patients (108 ears).
Early presentation at less than 1 year of age was noted for 40 patients. Coexisting medical conditions were noted in 16 patients. Seven patients demonstrated facial paralysis. Unexpected sensorineural hearing loss was discovered in six patients. Twenty-four patients had undergone auricular reconstruction at the time of this report. Additional patients had undergone skin tag removal, ventilation tube placement, and atresia repair.
Children with microtia and significant auricular malformation require global attention to early family guidance, to expected and unexpected hearing loss, to language development, to associated medical conditions, and to both auricular and otologic reconstruction issues.
研究先天性耳畸形，这是一种罕见但严重的病症。关于耳畸形的文献将医学、耳科学和耳再造要素区分开来；本研究在一份报告中涵盖了所有要素。
对患有小耳畸形和严重耳畸形的患者进行回顾性图表分析，从初次就诊到适合年龄的患者进行手术重建。
一位作者在一家转诊机构的实践经验。
92例患者（108只耳）。
40例患者在1岁以内早期就诊。16例患者存在合并症。7例患者出现面瘫。6例患者发现意外的感音神经性听力损失。在撰写本报告时，24例患者已接受耳再造手术。其他患者接受了皮肤赘生物切除、通气管置入和闭锁修复。
患有小耳畸形和明显耳畸形的儿童需要全面关注，包括早期家庭指导、预期和意外的听力损失、语言发育、合并症以及耳和耳科重建问题。
