title: [Functional and aesthetic rehabilitation of microtia in children and adolescents].
abstract: BACKGROUND
  Microtia leads to a severe functional and aesthetic handicap. Traditionally, the auricle is often reconstructed with cartilage transplants, which is, however, associated with some partially substantial disadvantages. The authors have instead used implants of porous polyethylene for successful ear reconstruction for years, thus, avoiding some of these disadvantages. A significant benefit for the patient is achieved by simultaneous hearing rehabilitation by the implantation of active middle ear prostheses.
  
  
  METHODS
  The authors present their surgical concept which allows functional and aesthetic rehabilitation of microtia in children and adolescents in a single operation. In the respective patient collective, audiometric measurements in quiet and noisy environments were conducted pre- and postoperatively, and health-related quality of life was determined using a validated questionnaire.
  
  
  RESULTS
  All patients experienced a substantial hearing gain both in quiet and noisy environments. The evaluation of health-related quality of life showed a significant benefit from the intervention.
  
  
  CONCLUSIONS
  Functional and aesthetic rehabilitation of microtia with active middle ear implants and ear reconstruction using porous polyethylene leads to good and reliable long-term results and can increase the health-related quality of life of affected children and adolescents. The main advantage of this concept is the possibility of a single procedure.
authors.affiliation: Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland.
authors.forename: J M
authors.initials: JM
authors.lastname: Hempel
authors.forename: T
authors.initials: T
authors.lastname: Braun
authors.forename: A
authors.initials: A
authors.lastname: Berghaus
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000534:rehabilitation* / Q000601:surgery*; D065817:Congenital Microtia; D004423:Ear / Q000002:abnormalities* / Q000601:surgery; D004954:Esthetics; D005260:Female; D034381:Hearing Loss / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods; D020127:Recovery of Function; D016896:Treatment Outcome
references.citation: ORL J Otorhinolaryngol Relat Spec. 2006;68(6):378-85
references.pmid: 17065833
references.citation: HNO. 2007 May;55(5):349-56
references.pmid: 17356875
references.citation: Facial Plast Surg. 2008 Jan;24(1):120-8
references.pmid: 18286440
references.citation: Int J Pediatr Otorhinolaryngol. 2012 Feb;76(2):272-7
references.pmid: 22177319
references.citation: Arch Otolaryngol Head Neck Surg. 1986 Apr;112(4):388-97
references.pmid: 3511925
references.citation: Adv Otorhinolaryngol. 2010;69:1-13
references.pmid: 20610908
references.citation: Ann Intern Med. 1993 Apr 15;118(8):622-9
references.pmid: 8452328
references.citation: Br J Audiol. 1999 Oct;33(5):313-27
references.pmid: 10890146
references.citation: J Plast Reconstr Aesthet Surg. 2012 Feb;65(2):141-8
references.pmid: 21700520
references.citation: Facial Plast Surg. 2009 Aug;25(3):181-9
references.pmid: 19809950
references.citation: Plast Reconstr Surg. 2010 Oct;126(4):1201-1212
references.pmid: 20885242
references.citation: Anesth Analg. 2009 Nov;109(5):1434-40
references.pmid: 19713262
references.citation: Arch Otolaryngol Head Neck Surg. 2004 May;130(5):524-30
references.pmid: 15148171
references.citation: Arch Otolaryngol Head Neck Surg. 1997 Jun;123(6):578-83
references.pmid: 9193216
references.citation: Am J Otol. 1992 Jan;13(1):6-12
references.pmid: 1598988
references.citation: Facial Plast Surg. 1988 Oct;5(5):451-7
references.pmid: 3270630
references.citation: Plast Reconstr Surg. 2012 Mar;129(3):632-640
references.pmid: 22373970
references.citation: Laryngorhinootologie. 1995 Nov;74(11):657-62
references.pmid: 8561816
references.citation: Laryngorhinootologie. 2007 Apr;86 Suppl 1:S67-76
references.pmid: 17431830
references.citation: Ann Plast Surg. 2005 May;54(5):517-24
references.pmid: 15838214
references.citation: Laryngoscope. 2004 May;114(5):942-4
references.pmid: 15126761
references.citation: Acta Otolaryngol. 2010 Dec;130(12):1343-51
references.pmid: 20735185
references.citation: Adv Otorhinolaryngol. 2011;71:41-46
references.pmid: 21389703
references.citation: HNO. 1995 Jul;43(7):427-31
references.pmid: 7673000
references.citation: Ann Otol Rhinol Laryngol. 2004 Dec;113(12):980-6
references.pmid: 15633901
references.citation: Int J Audiol. 2006 Oct;45(10):600-8
references.pmid: 17062502
references.citation: Arch Otolaryngol. 1985 Mar;111(3):154-60
references.pmid: 3977737
references.citation: Laryngoscope. 2009 Jan;119(1):67-74
references.pmid: 19117311
references.citation: Plast Reconstr Surg. 2010 Dec;126(6):2115-2124
references.pmid: 20697314
references.citation: Int J Pediatr Otorhinolaryngol. 2010 Nov;74(11):1267-9
references.pmid: 20828837
references.citation: Ear Nose Throat J. 1997 Apr;76(4):238-40, 242, 244-7
references.pmid: 9127523
references.citation: Int J Pediatr Otorhinolaryngol. 2011 Mar;75(3):342-6
references.pmid: 21236498
references.citation: Curr Opin Otolaryngol Head Neck Surg. 2004 Aug;12(4):277-80
references.pmid: 15252246
references.citation: JAMA. 1999 Sep 22-29;282(12):1157-62
references.pmid: 10501119
references.citation: Plast Reconstr Surg. 1994 Apr;93(5):967-79
references.pmid: 8134490
references.citation: Plast Reconstr Surg. 1997 Apr;99(4):1030-6
references.pmid: 9091899