OUR EXPERIENCE IN SURGICAL TREATMENT IN CONGENITAL ATRESIA OF THE EXTERNAL AUDIO CANAL WITH COMBINED PATHOLOGIES OF THE MIDDLE EAR
Keywords:
Allergic rhinitis, bronchial asthma, rhinorrhea, shortness of breath, wheezing, coughAbstract
Over the past 8 months, 34 patients with congenital atresia of the external auditory canal with combined pathology of the middle ear underwent 34 primary operations with an anterior approach. The follow-up period varied up to 8 months. Hearing results were found in 32 (94.1%) patients with conductive hearing loss with a KVI of 35 dB, in 2 patients a hearing loss of a mixed type was detected and the KVI was 30 dB (5.9%). There were no cases of facial nerve injury or sensorineural hearing loss. Facial nerve monitoring was used. Hearing improvement results have been achieved with patients' intact bones or prostheses. Careful soft tissue technique with split grafts covering all exposed bone. Is the key to preventing stenosis. Proper orientation and soft tissue technique are key to successful correction of congenital ear canal ateresis.
References
Georgakopoulos B, Zafar Gondal A. Embryology, Ear Congenital Malformations. [Updated 2021 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan, Ma, X., Xie, F., Zhang, C., Xu, J., Lu, J., & Teng, L. (2019). Correlation Between Mandible and External Ear in Patients with Treacher-Collins Syndrome. Journal of Craniofacial Surgery, 30(4), 975–979;
Kösling, S., Omenzetter, M., & Bartel-Friedrich, S. (2009). Congenital malformations of the external and middle ear. European Journal of Radiology, 69(2), 269–279;
Weerda H. Chirurgie der Ohrmuschel. Verletzungen, Defekte und Anomalien. Stuttgart: Thieme; 2004. S. 105-226;
Swartz JD, Faerber EN. Congenital malformations of the external and middle ear: high-resolution CT findings of surgical import. AJR. 1985;144:501-6;
Thorn L. Entwicklung des Ohres (einschlieЯlich Entstehung von Missbildungen, experimentelle Embryologie und In-vitro-Studien). In: Helms J, Hrsg. Oto-Rhino-Laryngologie in Klinik und Praxis. Bd. 1. Stuttgart: Thieme; 1994. S. 1-22;
Luquetti DV, Heike CL, Hing AV, Cunningham ML, Cox TC. Microtia: epidemiology and genetics. Am J Med Genet A 2012;158A(1): 124–139;
Service GJ, Roberson JB Jr. Current concepts in repair of aural atresia. Curr Opin Otolaryngol Head Neck Surg 2010;18(6):536–8;
Kesser B, Jahrsdoerfer R. Surgery for congenital aural atresia. In: Julianna Gulya A, Minor L, Poe D, editors. Surgery of the ear. 6th edition. Shelton (CT): People’s Medical Publishing House; 2010. p. 413–22;
Schloss MD. Congenital anomalies of the external auditory canal and the middle ear. Surgical management. In: Tewfik TL, Der Kaloustian VM, editors. Congenital anomalies of the ear, nose, and throat. New York: Oxford University Press; 1997. p. 119-2;
UK Care Standards for the Management of Patients with Microtia and Atresia. British Academy of Audiology, British Association of Audiovestibular Physicians, British Association of Paediatricians in Audiology, British Association of Plastic, Reconstructive and Aesthetic Surgeons, Changing Faces, ENT-UK, Microtia UK, Microtia Mingle, National Deaf Children’s Society, Paediatric Psychology Network UK. March 2015. Accessible at http://microtiauk.org/docs/UK_Care_Standards_for_the_Management_of_Patients_with_Microtia_and_Atresia__March_2015.pdf
Bartel-Friedrich S, Wulke C. Classification and diagnosis of ear malformations. GMS Curr Top Otorhinolaryngol Head Neck Surg.2007;6:Doc05]. Tewfik et al. [Tewfik TL, Teebi AS, Der Kaloustian VM. Appendix A. Syndromes and conditions associated with congenital anomalies of the ear. In: Tewfik TL, Der Kaloustian VM, editors. Congenital anomalies of the ear, nose, and throat. New York: Oxford University Press; 1997. p. 125-44;
Jahrsdoerfer R, Kim JHN. Chirurgie des missgebildeten Mittelohres. Technik und Ergebnisse. In: Weerda H, Hrsg. Chirurgie der Ohrmuschel. Stuttgart: Thieme; 2004. S. 240-9;
Fekete DM, Wu DK. Revisiting cell fate specification in the inner ear. Curr Opin Neurobiol. 2002;12:35-42., Torres M, Giraldez F. The development of the vertebrate inner ear. Mech Dev. 1998;71(1-2):5-21;
Zoll B. Genetische Grundlagen. In: Wendler J, Seidner W, Eysholdt U, Hrsg. Lehrbuch der Phoniatrie und Pдdaudiologie. Stuttgart: Thieme; 2005. S. 56-67.
Katzbach R, Klaiber S, Nitsch S, Steffen A, Frenzel H. Ohrmuschelrekonstruktion bei hochgradiger Mikrotie. HNO. 2006;54:493-514
Altmann F. Congenital aural atresia of the ear in men and animals. Ann Otol Rhinol Laryngol 1955;64:824–58;
Jahrsdoerfer RA, Yeakley JW, Aguilar EA, et al.: Grading system for the selection of patients with congenital aural atresia. Am J Otol 13: 6–12, 1992
Shonka DC, Jr., Livingston WJ, 3rd, Kesser BW: The Jahrsdoerfer grading scale in surgery to repair congenital aural atresia. Arch Otolaryngol Head Neck Surg 134: 873–877, 2008.
Гулямов Ш. Б., Карабаев Х. Э., Хамракулова Н. О. Способы хирургического лечения врожденной атрезии наружного слухового прохода //журнал стоматологии и краниофациальных исследований. – 2023. – Т. 4. – №. 4.
Нурмухамедова Ф., Хамракулова Н. Показатели качества жизни пациентов с хроническим гнойным средним отитом после тимпанопластики //Журнал биомедицины и практики. – 2021. – Т. 1. – №. 4. – С. 96-100.
Хамракулова Н. О., Абдураимов З. А. Сравнительная оценка эффективности консервативного и хирургического методов лечения больных с хроническим гнойным средним отитом //журнал стоматологии и краниофациальных исследований. – 2022. – Т. 3. – №. 3.
Хушвакова Н. Ж. и др. Оптимизированный метод лечения острого катарального среднего отита у детей //Евразийский Союз Ученых. – 2020. – №. 11-2 (80). – С. 18-20.
