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June 1983

Congenital Atresia of the External Auditory Canal

Author Affiliations

From the Department of Otolaryngology—Head and Neck Surgery, University of Michigan Medical School (Dr Kemink), and the Kresge Hearing Research Institute (Drs Kemink, Graham, and Dolezal); Ann Arbor.

Arch Otolaryngol. 1983;109(6):422-424. doi:10.1001/archotol.1983.00800200068021

PRESENTATION OF A CASE  A 24-year-old woman was seen initially in the Department of Otolaryngology—Head and Neck Surgery, at the University of Michigan School of Medicine, Ann Arbor. She had been referred to one of us (M.D.G.) for consideration of surgical correction of bilateral congenital atresia of the external auditory canal. At birth, she was noted to have had misshapen auricles, with the absence of the external auditory canals. During her preschool years, the family made a concerted effort to "speak up to her," during which time she did not use a hearing aid. At the age of 6 years, she underwent reconstructive procedures on both auricles. The mildly misshapen auricles were released from the scalp, with formation of a postauricular sulcus, with a full-thickness skin graft. The patient's parents were told, at that time, that surgery to improve hearing was risky and might result in facial paralysis.During

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