title: [Surgical management of the congenital atresia of the ear].
abstract: This study presents a 15 year experience of surgical treatment in 47 patients with congenital atresia of the ear. Emphasizing on the importance of pre-surgical evaluation of the patients for a better prognostic indicator. The ages of 40 patients were between 5-15 years. 24 patients (61%) had complete atresia and 23 (49%) incomplete. 27 patients (57%) with bilateral disease and 20 (43%) unilateral. Auditory test before surgery showed a conductive hearing loss of approximately 60 decibels (dB) and one case with total sensorineural hearing loss. There was an auditory average gain of 28.3 dB. 3 patients (6.4%) had associated cholesteatoma. Complications presented: Closure of the external auditory canal in 6 patients (12.7%), and facial nerve paralysis in 2 patients with recovery. The different surgical technics are described. In conclusion, for this type of surgery, combination between the otologist and plastic surgeon should be done for better results.
authors.affiliation: Departamento de Otorrinolaringología del Instituto Nacional de Enfermedades Respiratorias, México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Soda Merhy
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004424:Ear Canal / Q000002:abnormalities / Q000601:surgery; D004431:Ear, External / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies
vernacular_title: Manejo quirúrgico de la atresia congénita del oído.