gms | German Medical Science

83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2012, Mainz

Three-stage surgery of combining auricle reconstruction, meatoplasty and tympanoplasty for congenital microtia-atresia

Meeting Abstract

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  • corresponding author Tianyu Zhang - Eye and ENT Hospital of Fudan University, Shanghai, P.R. China

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod578

doi: 10.3205/12hnod578, urn:nbn:de:0183-12hnod5787

Veröffentlicht: 4. April 2012

© 2012 Zhang.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: To investigate the validity and feasibility of our consecutive three-stage surgical techniques of combining auricle reconstruction, meatoplasty and tympanoplasty for the patients with congenital microtia-atresia.

Materials and Methods: From Sep. 2007, to Jun. 2011, all the patients with congenital microtia-atresia, who accepted diagnosis and treatment in our department, were enrolled in this study. The three-stage surgical techniques were described as follows: 1). The first stage was similar to Brent’s or Nagata’s two or four stages auricular reconstruction techniques. 2). The second stage should contain two steps, one was to transfer the labule, and the other was to drill out the external auditory canal (EAC) from the anterior approaches. 3). The third stage was to elevate the newly reconstructed auricular.

Results: In this study, there were only about 50% patients (90) with microtia-atresia, who were eligible for our surgical treatment and accepted the combined tree-stage surgical techniques.Hearing results:Preliminary data in those 90 patients showed that 22 (24.4%) ones have achieved serviceable hearing; 40 (44.4%) ones’ air-conduction thresholds have been improved 10 to 25 dB; and the rest 28 (31.1%) ones have not acquired any benefits for hearing improvement after the surgery. The cosmetic results: During the follow-up, more than 80% of the patients and their families felt satisfaction with the contours of the newly reconstructed auricles and became more confidence, except four ones who felt unfavorable with their auricle appearances.

Conclusions: In conclusion, our newly combined three-stage surgical techniques are feasible and valid choices for those patients with microtia-atresia.