Format

Send to

Choose Destination
Int J Pediatr Otorhinolaryngol. 2017 Oct;101:150-157. doi: 10.1016/j.ijporl.2017.08.008. Epub 2017 Aug 10.

Aesthetic and hearing rehabilitation in patients with bilateral microtia-atresia.

Author information

1
Department of Otolaryngology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address: 15600747630@163.com.
2
Department of Otolaryngology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address: wangyibei19910115@163.com.
3
Department of Otolaryngology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address: wwppp2012@163.com.
4
Department of Otolaryngology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address: chromefan@126.com.
5
Department of Radiology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address: bjchenyu@126.com.
6
Department of Radiology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address: 13552010685@163.com.
7
Department of Otolaryngology, Peking Union Medical College Hospital, Beijing, PR China. Electronic address: chenxw_pumch@163.com.

Abstract

OBJECTIVES:

To evaluate the safety and efficacy of auricle reconstruction and active transcutaneous bone-conduction implantation in patients with bilateral microtia-atresia.

DESIGN:

Patients were chosen prospectively, with each being his/her own control.

SETTING:

The setting was a tertiary referral center.

PARTICIPANTS:

Twelve patients, aged 6-18 years, with bilateral microtia-atresia suffering from bilateral conductive hearing loss. All had an upper bone conduction threshold limit of 45 dB HL at frequencies of 0.5-4 kHz.

MAIN OUTCOME MEASURES:

Patient satisfaction with the reconstructed auricle was rated as highly satisfactory, basically satisfactory, or unsatisfactory. Mean pure-tone thresholds and speech audiometry test results were compared among patients unaided, with a soft-band Bonebridge, and with an implanted Bonebridge. Subjective satisfaction was analyzed using three questionnaires: the Abbreviated Profile of Hearing Aid Benefit (APHAB), the Glasgow children's benefit inventory (GCBI), and the International Outcome Inventory for Hearing Aids (IOI-HA).

RESULTS:

All patients who underwent auricle reconstruction expressed satisfaction with their appearance. The mean pure-tone thresholds of unaided patients and those with soft-band and implanted Bonebridge were 55.25 ± 3.43 dBHL, 31.37 ± 3.03 dBHL, and 21.25 ± 2.16 dBHL, respectively. The mean speech discrimination scores measured in a sound field with a presentation level of 65 dB SPL under these three conditions were 46.0 ± 0.11%, 80.0 ± 0.09%, and 94.0 ± 0.02%, respectively. Questionnaires demonstrated patients' benefits and satisfaction with this surgery.

CONCLUSIONS:

The surgical procedure involving auricle reconstruction and Bonebridge implantation was safe and effective for patients with bilateral microtia-atresia, solving both appearance and hearing problems.

KEYWORDS:

Auricle reconstruction; Bonebridge; Congenital microtia; Hearing rehabilitation

PMID:
28964287
DOI:
10.1016/j.ijporl.2017.08.008
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center