At the Fifth International Symposium in Toronto, Canada, a special section devoted to auricular reconstruction was held. Emphasis was on the surgical management of congenital microtia, and was addressed by several different speakers. This forum provided an excellent review of current concepts for this challenging area.
E. Fred Aguilar, MD, Houston, Tex, presented his paper entitled "The Role of the Facial Plastic Surgeon in Microtia Repair." His presentation centered on the misinformation that is frequently given to families who have children with congenital microtia. This information ranged from families being told that nothing could be done, to being told that surgery was required immediately. Others were told that the child was obviously deaf and that hearing would be an impossibility for the child in the future. He advocated early auditory brain-stem response testing. Patients with bilateral microtia and atresia should have a bone-conducted hearing aid placed within days of birth.
AGUILAR EA. Auricular Reconstruction. Arch Otolaryngol Head Neck Surg. 1989;115(12):1417. doi:10.1001/archotol.1989.01860360019008
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