선천성 외이도 폐쇄증과 소이증의 치료
Management of Congenital Aural Atresia and Microtia
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초록
Microtia is commonly associated with aural atresia, which will cause cosmetic problems aswell as hearing impairment. The management of microtia and aural atresia should improve theaesthetic of the external ear and enhance functional hearing. The reconstruction of the auriclecan be performed with autologous rib cartilage or a porous polyethylene framework. Surgeonsideally perform the autologous costal cartilage method at 9 years old or higher considering thedevelopment of costal cartilage. For porous polyethylene microtia repair, surgical reconstruc-tion can be performed after 5 years of age. Atresiaplasty can be performed in patients whohave normal inner ear function and a well-developed middle ear. The Jahrsdoerfer gradingscale is used for assessment of middle ear anatomy and scoring 7 or higher expects good re-sults. The other options for hearing rehabilitation include bone conduction hearing devices ormiddle ear implants. The surgery for bone conduction devices or middle ear implants can beproposed after 5 years of age. Atresiaplasty is recommended in combination with or after au-tologous rib graft microtia repair and before porous polyethylene microtia repair. The implan-tation of the hearing devices should not interfere with auricular reconstruction. It can be per-formed after autologous rib graft microtia repair or combined with ear elevation.
Abstract
Microtia is commonly associated with aural atresia, which will cause cosmetic problems aswell as hearing impairment. The management of microtia and aural atresia should improve theaesthetic of the external ear and enhance functional hearing. The reconstruction of the auriclecan be performed with autologous rib cartilage or a porous polyethylene framework. Surgeonsideally perform the autologous costal cartilage method at 9 years old or higher considering thedevelopment of costal cartilage. For porous polyethylene microtia repair, surgical reconstruc-tion can be performed after 5 years of age. Atresiaplasty can be performed in patients whohave normal inner ear function and a well-developed middle ear. The Jahrsdoerfer gradingscale is used for assessment of middle ear anatomy and scoring 7 or higher expects good re-sults. The other options for hearing rehabilitation include bone conduction hearing devices ormiddle ear implants. The surgery for bone conduction devices or middle ear implants can beproposed after 5 years of age. Atresiaplasty is recommended in combination with or after au-tologous rib graft microtia repair and before porous polyethylene microtia repair. The implan-tation of the hearing devices should not interfere with auricular reconstruction. It can be per-formed after autologous rib graft microtia repair or combined with ear elevation.
참고문헌 (29)
- Luquetti DV, "Microtia : Epidemiology and genetics", Am J Med Genet A, 158A(1), pp.124~139 (2012)
- Genc S, "Microtia and congenital aural atresia", J Craniofac Surg, 23(6), pp.1733~1735 (2012)
- El-Hoshy Z, "Congenital aural atresia : Transmastoid approach; an old technique with good results", Int J Pediatr Otorhinolaryngol, 72(7), pp.1047~1052 (2008)
- Harris J, "The epidemiology of anotia and microtia", J Med Genet, 33(10), pp.809~813 (1996)
- Tanzer RC, "Total reconstruction of the external ear", Plast Reconstr Surg Transplant Bull, 23(1), pp.1~15 (1959)
- Brent B, "Ear reconstruction with an expansile framework of autogenous rib cartilage", Plast Reconstr Surg, 53(6), pp.619~628 (1974)
- Nagata S, "A new method of total reconstruction of the auricle for microtia", Plast Reconstr Surg, 92(2), pp.187~201 (1993)
- Reinisch JF, "Ear reconstruction using a porous polyethylene framework and temporoparietal fascia flap", Facial Plast Surg, 25(3), pp.181~189 (2009)
- Caversaccio M, "Valuable use of computer-aided surgery in congenital bony aural atresia", J Laryngol Otol, 117(4), pp.241~248 (2003)
- Weerda H, "Chirurgie der ohrmuschel: Verletzungen, defekte und anomalien", pp.105~256 (2004), Thieme
- Zhang TY, "International consensus recommendations on microtia, aural atresia and functional ear reconstruction", J Int Adv Otol, 15(2), pp.204~208 (2019)
- Wilkes GH, "Microtia reconstruction", Plast Reconstr Surg, 134(3), pp.464~ (2014)
- Ikeda AK, "Management of patients with unilateral microtia and aural atresia : Recent advances and updates", Curr Opin Otolaryngol Head Neck Surg, 29(6), pp.526~533 (2021)
- Siegert R, "Combined reconstruction of congenital auricular atresia and severe microtia", Adv Otorhinolaryngol, 68, pp.95~107 (2010)
- Tahiri Y, "Porous polyethylene ear reconstruction", Clin Plast Surg, 46(2), pp.223~230 (2019)
- Bly RA, "Microtia reconstruction", Facial Plast Surg Clin North Am, 24(4), pp.577~591 (2016)
- Shonka DC Jr, "The Jahrsdoerfer grading scale in surgery to repair congenital aural atresia", Arch Otolaryngol Head Neck Surg, 134(8), pp.873~877 (2008)
- Nadaraja GS, "Hearing outcomes of atresia surgery versus osseointegrated bone conduction device in patients with congenital aural atresia : A systematic review", Otol Neurotol, 34(8), pp.1394~1399 (2013)
- Bajaj Y, "How we do it : BAHA positioning in patients with microtia requiring auricular reconstruction", Clin Otolaryngol, 30(5), pp.468~471 (2005)
- Long X, "Complication rate of autologous cartilage microtia reconstruction : A systematic review", Plast Reconstr Surg Glob Open, 1(7), pp.e57~ (2013)
- Kim A, "Risk factors for delayed resorption of costal cartilage framework following microtia reconstruction", Facial Plast Surg Aesthet Med, 22(6), pp.456~463 (2020)
- Tanzer RC, "Microtia--a long-term follow-up of 44 reconstructed auricles", Plast Reconstr Surg, 61(2), pp.161~166 (1978)
- Kobayashi S, "Ear elevation using 2-tiered costal cartilage on the same side as the reconstructed framework", J Craniofac Surg, 22(5), pp.1796~1799 (2011)
- Ronde EM, "Long-term complications of microtia reconstruction : A systematic review", J Plast Reconstr Aesthet Surg, 74(12), pp.3235~3250 (2021)
- Ronde EM, "Long-term aesthetics, patient-reported outcomes, and auricular sensitivity after microtia reconstruction: A systematic review", J Plast Reconstr Aesthet Surg, 74(12), pp.3213~3234 (2021)
- Li CL, "A meta-analysis of the long-term hearing outcomes and complications associated with atresiaplasty", Int J Pediatr Otorhinolaryngol, 79(6), pp.793~797 (2015)
- Moon IJ, "Longterm stent use can prevent postoperative canal stenosis in patients with congenital aural atresia", Otolaryngol Head Neck Surg, 146(4), pp.614~620 (2012)
- Li C, "Congenital aural atresia and stenosis : Surgery strategies and long-term results", Int J Audiol, 53(7), pp.476~481 (2014)
- 조성일, "Functional and esthetic reconstruction of microtia and congenital aural atresia: a case report", 대한미용의학회지, 5(1), pp.45~48 (2021), 대한미용의학회[DOI]