Development of an interdisciplinary microtia‐atresia care model: A single‐center 20‐year experience

Objectives Microtia and aural atresia are congenital ear anomalies with a wide‐ranging spectrum of phenotypes and varied functional and psychosocial consequences for patients. This study seeks to analyze the management of microtia‐atresia patients at our center over a 20‐year period and to propose r...

Full description

Saved in:
Bibliographic Details
Published in:Laryngoscope investigative otolaryngology 2022-12, Vol.7 (6), p.2103-2111
Main Authors: Patel, Krupa R., Benchetrit, Liliya, Ronner, Evette A., Occhiogrosso, Jessica, Hadlock, Tessa, Shaye, David, Quesnel, Alicia M., Cohen, Michael S.
Format: Article
Language:English
Subjects:
Age
atresiaplasty
aural atresia
auricular reconstruction
bone conduction
Data collection
Interdisciplinary aspects
Medical records
Microtia
Multidisciplinary teams
Original Research
Otolaryngology
Patients
Pediatrics
Pediatrics and Development
Plastic surgery
Rehabilitation
Surgeons
Variables
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives Microtia and aural atresia are congenital ear anomalies with a wide‐ranging spectrum of phenotypes and varied functional and psychosocial consequences for patients. This study seeks to analyze the management of microtia‐atresia patients at our center over a 20‐year period and to propose recommendations for advancing microtia‐atresia care at a national level. Methods We performed a retrospective analysis of data from patients presenting to the Massachusetts Eye and Ear (Boston, MA) for initial otolaryngology consultation for congenital microtia and/or aural atresia between 1999 and 2018. Results Over the 20‐year study period, 229 patients presented to our microtia‐atresia center at a median age of 7 years. The severity of microtia was most commonly classified as grade III (n = 87, 38%), 61% (n = 140) of patients had complete atresia, the median Jahrsdoerfer grading scale score was 6 (range 0–10), and 81 patients (35%) underwent surgery for microtia repair. For hearing rehabilitation, 30 patients (64%) underwent bone conduction device implantation and 17 patients (36%) underwent atresiaplasty. The implementation of an interdisciplinary, longitudinal care model resulted in an increase in patient (r = 0.819, p 
ISSN:2378-8038
2378-8038
DOI:10.1002/lio2.896