title: Contemporary hearing rehabilitation options in patients with aural atresia.
abstract: Congenital aural atresia is the failure of development of the external auditory canal. It usually occurs in conjunction with microtia, which is the malformation of the auricle due to a failure of development of the external ear. Aural atresia, with or without microtia, may significantly affect the hearing and social life of the patients. It is important for every medical practitioner to be aware of the possible treatment options for hearing rehabilitation in this group of patients. In the era of modern technology, new choices, including Bone-Anchored Hearing Aid (BAHA) (Cochlear Ltd. and Oticon Medical), Vibrant Soundbridge (VSB) (MED-EL, Innsbruck, Austria), and Bonebridge system (BB) (MED-EL, Innsbruck, Austria), provide high-end alternatives to traditional Bone Conduction Hearing Aid and Auditory Canal Reconstruction. All these options have advantages and disadvantages, and they are appropriate for different patients and/or at different ages. This paper aims to provide an overview of the management of hearing rehabilitation in congenital aural atresia patients and a discussion of each treatment option.
authors.affiliation: Department of ENT, United Christian Hospital, Kwun Tong, Hong Kong.
authors.forename: Jacky F W
authors.initials: JF
authors.lastname: Lo
authors.affiliation: Department of ENT, Prince of Wales Hospital, Shatin, Hong Kong.
authors.forename: Willis S S
authors.initials: WS
authors.lastname: Tsang
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Joannie Y K
authors.initials: JY
authors.lastname: Yu
authors.affiliation: Department of ENT, United Christian Hospital, Kwun Tong, Hong Kong.
authors.forename: Osan Y M
authors.initials: OY
authors.lastname: Ho
authors.affiliation: Department of ENT, United Christian Hospital, Kwun Tong, Hong Kong.
authors.forename: Peter K M
authors.initials: PK
authors.lastname: Ku
authors.affiliation: Department of ENT, Prince of Wales Hospital, Shatin, Hong Kong ; Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong, Hong Kong.
authors.forename: Michael C F
authors.initials: MC
authors.lastname: Tong
mesh_terms: D001309:Auditory Threshold; D001317:Austria; D000013:Congenital Abnormalities / Q000473:pathology / Q000601:surgery*; D004423:Ear / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D004424:Ear Canal / Q000473:pathology / Q000601:surgery*; D006309:Hearing / Q000502:physiology; D006310:Hearing Aids; D006801:Humans; D019651:Plastic Surgery Procedures