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November 1988

Congenital Atresias of the Ears

Arch Otolaryngol Head Neck Surg. 1988;114(11):1227. doi:10.1001/archotol.1988.01860230021002

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Paul R. Lambert, MD, University of Virginia Medical Center, Charlottesville, reported to the American Otologic Society's spring meeting in Palm Beach, Fla, his experience with 20 patients with congenital atresias of the ear. Fifteen of these patients underwent an operation. The diagnosis included atresias unilaterally (eight cases), hemifacial microsomia (three cases), isolated atresias bilaterally (two cases), and Goldenhar's syndrome (one case). High-risk patients had intraoperative facial nerve monitoring. An anterior technique (described previously by Jahrsdoerfer) was the method employed. A split-thickness skin graft was used to line the mastoid defect.

Sixteen ears had some degree of microtia. In five ears, the deformity was mild; in six, moderate; and in five, severe. In seven of 16 ears, the facial nerve was markedly abnormal, and the more serious the atresia, the more common the anomaly.

Vigorous discussion, led by Dr Derlacki, emeritus professor at Northwestern University, Chicago, centered around performing an operation

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