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Ann Otol Rhinol Laryngol 2020 Jun 5:3489420924058. Epub 2020 Jun 5.

Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Objective: To evaluate the long-term safety and efficacy of the Clip coupler attached to the stapes head in patients with unilateral congenital aural atresia (CAA).

Methods: This single-center retrospective study included 16 Mandarin-speaking patients who had unilateral microtia accompanied by CAA. All patients were divided into two groups: the short-term follow-up group (n = 9) and the long-term follow-up group (n = 7). Read More

J Deaf Stud Deaf Educ 2020 May 20. Epub 2020 May 20.

Hear and Say, Brisbane, Queensland, Australia.

This study compared the language, reading, classroom, and quality of life outcomes of primary school-aged children with aural atresia (AA) to matched controls. Participants included 10 children with AA (eight unilateral) and 10 children with typical hearing matched by chronological and mental age. All children with AA had been fitted with an amplification device. Read More

J Med Invest 2020 ;67(1.2):131-138

Department of Otolaryngology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.

The effects of FM system fitted into the normal hearing ear (NHE) or a cartilage conduction hearing aid (CCHA) fitted into the affected ear (AE) on the speech recognition ability in noise were examined in children with unilateral congenital aural atresia (UCAA). In children with bilateral normal hearing (BNH), speech recognition score (SRS) was significantly decreased in the noisy environment of -5 dB signal-to-noise ratio (SNR), compared with those in quiet. In children with UCAA, SRS was significantly decreased in noisy environments of 0 and -5 dB SNR, compared with those in quiet. Read More

Int J Pediatr Otorhinolaryngol 2020 Jul 6;134:110040. Epub 2020 Apr 6.

Division of Pediatric Otolaryngology, Texas Children's Hospital, Houston, TX, USA; Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, USA. Electronic address:

Objective: To characterize the use of bone conduction hearing devices (BCHD) for hearing management in children with unilateral congenital aural atresia (CAA) at a tertiary pediatric center's microtia clinic while assessing challenges in acquisition. BCHD generally provides better audiologic outcomes than atresiaplasty in pediatric CAA. BCHD is formally recommended for only bilateral CAA, although literature has begun to show benefit in unilateral CAA. Read More

Acta Otorrinolaringol Esp 2020 Mar 11. Epub 2020 Mar 11.

Catholic University of Cordoba, Argentina; School of Speech Therapy, National University of Cordoba, Argentina. Electronic address:

Acta Otorrinolaringol Esp 2020 Mar 3. Epub 2020 Mar 3.

Department of Otolaryngology - Head and Neck Surgery, Emory University, 1365A Clifton Road NE, Atlanta, GA 30322, USA. Electronic address:

Acta Otolaryngol 2020 Apr 6;140(4):319-326. Epub 2020 Mar 6.

Department of Otorhinolaryngology, Shinshu University School of Medicine, Matsumoto, Japan.

An adhesively attached bone conduction hearing device has been newly developed. This novel bone conduction hearing device is placed behind the ear and has an audio processor connected to the adapter to transmit sound through vibrations. To obtain preliminary results regarding the use of this device, we sought to apply it to patients with various types of hearing loss. Read More

HNO 2020 Jun;68(6):401-406

Abteilung für HNO-Heilkunde, Kopf- u. Hals-Chirurgie, Plastische Chirurgie, Asklepios Klinik Altona, Paul-Ehrlich-Str. 1, 22763, Hamburg, Deutschland.

Malformations of the ear are the most common dysplasias in childhood. Ear malformations are classified into dysplasias of the auricle, of the ear canal, and of the middle and inner ear. The latter types are fortunately relatively rare. Read More

Int J Pediatr Otorhinolaryngol 2020 Jun 15;133:109957. Epub 2020 Feb 15.

Baylor College of Medicine, Houston, TX, USA; Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA. Electronic address:

Objectives: Microtia is a congenital ear anomaly that hinders quality of life. Microtia patients, both syndromic and in isolation, may be at-risk for significant renal anomalies that can go undetected at the time of birth. The goal of this study was to characterize the prevalence of renal anomalies among microtia patients at our institution in order to guide optimal patient management. Read More

Acta Otolaryngol 2020 Jun 18;140(6):445-449. Epub 2020 Feb 18.

Sen-En Rifu Otologic Surgery Center, Miyagi, Japan.

Detailed investigations of the stapedial muscle (SM) in congenital aural atresia (CAA) patients have yet to be adequately conducted. To assess image variations in the mastoid segment of the facial nerve (FN) and SM in CAA. A total of nine patients comprising of 9 ears with unilateral CAA were studied. Read More

Acta Otorhinolaryngol Ital 2019 Dec;39(6):419-428

Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Plast Reconstr Surg Glob Open 2019 Jul 5;7(7):e2312. Epub 2019 Jul 5.

Department of Otolaryngology, The University of Tokyo, Tokyo, Japan.

Microtia with congenital aural atresia is challenging to achieve aesthetically and functionally good results. We herein present a case where a vascularized superthin superficial circumflex iliac artery perforator (SCIP) flap was used for reconstruction of the external auditory canal (EAC) and a full-thickness skin graft was used for reconstruction of the postauricular region for a 10-year-old male who suffered from microtia with congenital aural atresia. After costal cartilage grafting (the first operation), EAC reconstruction and auricle elevation (the second surgery) was performed. Read More

J Int Adv Otol 2019 12;15(3):472-473

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Reconstructive Surgery Center, Beijing, China.

Otol Neurotol 2020 Mar;41(3):371-378

Department of Otolaryngology, University of Virginia, Charlottesville, VA.

Objective: Describe long-term trends and stability of hearing outcomes for patients undergoing primary congenital aural atresia (CAA) repair.

Study Design: Retrospective chart review.

Setting: Single academic, tertiary referral center. Read More

Hear Res 2020 Jan 17;385:107847. Epub 2019 Nov 17.

Department of Biophysics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, the Netherlands; Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre Nijmegen, the Netherlands. Electronic address:

Congenital unilateral conductive hearing loss (UCHL) jeopardizes directional hearing and speech perception in noisy conditions. Potentially, children with congenital UCHL can benefit from fitting a hearing device, such as a bone-conduction device (BCD). However, the literature reports limited benefit from fitting a BCD, and often, surprisingly, relatively good sound localization in the unaided condition is reported. Read More

Indian J Otolaryngol Head Neck Surg 2019 Nov 4;71(Suppl 2):1474-1477. Epub 2019 Jan 4.

Department of ENT and HNS, Sri Devraj Urs Medical College and Research Centre, Tamka, Kolar, India.

Labyrinthectomy is an effective surgical procedure for the management of poorly compensated unilateral peripheral vestibular dysfunction in the presence of a nonserviceable hearing. It involves removal of labyrinthine portion of the inner ear and exenteration of the neuroepithelium. In our institution, 8 cases underwent surgical labyrinthectomy from a period of 2013-2018 for various extensive disease manifestations, age ranges from 2 to 48 years. Read More

J Neurol Sci 2019 11 6;406:116496. Epub 2019 Nov 6.

Hemorrhagic Stroke Research Program, Department of Neurology, Massachusetts General Hospital Stroke Research Center, Harvard Medical School, Boston, MA, USA. Electronic address:

Acta Otolaryngol 2020 Jan 31;140(1):27-31. Epub 2019 Oct 31.

Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

The main purpose of the canaloplasty is hearing improvement. But there are needs for evaluation of the esthetic or psychosocial effects of canaloplasty. This study investigated the esthetic influence of canaloplasty, with regard to the creation of a patent external auditory canal. Read More

OTO Open 2018 Jul-Sep;2(3):2473974X18791803. Epub 2018 Aug 7.

New York Otology, New York, New York, USA.

Objective: To examine the current trend in intraoperative facial nerve monitoring (IOFNM) training, performance, and reimbursement by subspecialists.

Study Design: Cross-sectional survey of the American Neurotology Society, American Otological Society, American Society of Pediatric Otolaryngology, and program directors of otolaryngology-head and neck surgery programs accredited by the Accreditation Council on Graduate Medical Education.

Setting: American Academy of Otolaryngology-Head and Neck Surgery Intraoperative Nerve Monitoring Task Force. Read More

J Int Adv Otol 2019 Aug;15(2):204-208

Department of Otolaryngology, La Timone Children's Hospital, Aix-Marseille University, Marseille, France.

The aim of this report is to provide international recommendations for functional ear reconstruction in patients with microtia and aural atresia. All patients with microtia and external auditory atresia should be seen in the setting of a multidisciplinary team and agreed treatment outcomes should be measured, so that techniques, approaches, and results can be compared. The methods are expert opinion from the members of the International Microtia and Atresia Workgroup (IMAW). Read More

Laryngoscope 2020 May 5;130(5):E368-E371. Epub 2019 Aug 5.

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, New York, U.S.A.

Objectives: To determine whether image guidance improves dissection quality among residents in the temporal bone lab and to gauge their reactions to its use.

Methods: Prospective cohort study of nine otolaryngology residents who dissected cadaveric temporal bones with and without image guidance in the temporal bone laboratory. Quality of dissection was measured with the Welling scale. Read More

Int J Pediatr Otorhinolaryngol 2019 Nov 27;126:109610. Epub 2019 Jul 27.

University of British Columbia, Vancouver, Canada; Division of Pediatric Plastic and Reconstructive Surgery, BC Children's Hospital, Canada.

Objective: To determine if radiologic imaging is necessary to rule out cholesteatoma in patients with congenital aural atresia.

Methods: A retrospective chart review of patients attending the BC Children's Hospital Microtia Clinic from January 1, 1990 through April 17, 2017 was undertaken. Patients with complete atresia of the external canal were included in the study. Read More

Otol Neurotol 2019 06;40(5S Suppl 1):S43-S50

Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.

Objective: To evaluate short- and long-term hearing results of surgery for acquired atresia of the external auditory canal (EAC) in a large patient cohort and to define preoperative audiometric conditions useful for patient counseling.

Study Design: Retrospective cohort study.

Setting: Academic tertiary referral center. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 May;54(5):349-354

Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.

To summarize the experience of the diagnosis, treatment and effects of the cases with coexistence of first branchial cleft anomaly(FBCA) and microtia with congenital aural atresia or stenosis(external auditory canal stenosis, EACS). This was a retrospective study. The clinical data of 5 patients with microtia and EACS in Beijing Tongren Hospital of Capital Medical University from October 2015 to March 2018 were collected, including 3 males and 2 females, aged from 5 to 28 years. Read More

Otol Neurotol 2019 07;40(6):782-788

Department of Otolaryngology, University of Virginia, Charlottesville.

Objective: To assess the association of middle ear volume with long-term hearing outcomes in congenital aural atresia (CAA) repair.

Study Design: Retrospective chart and radiological review.

Setting: Single academic tertiary referral center. Read More

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Nicosia Otolaryngology Center, Nicosia, Cyprus.

Vascular variants concerning the internal carotid artery (ICA) at the skull base level are rare. Correct workup and diagnosis in case of suspicion of such a variant are important as it mimics glomus tumours and could complicate myringotomy or middle ear surgery. We report a case of a 39-year-old woman presented with a 6-month history of right pulsatile tinnitus and aural fullness. Read More

J Emerg Med 2019 Jun 17;56(6):e115-e117. Epub 2019 Apr 17.

Division of Pediatric Otolaryngology, Department of Otolaryngology- Head and Neck Surgery, UPMC, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.

Background: Superabsorbent polymers (SAPs) are materials that can absorb large quantities of water. Small spherical SAPs are commonly marketed as toys for children.

Case Report: We report the case of a 4-year-old female who presented to a pediatric emergency department with a small, marble-sized SAP that was placed in her ear by herself during the course of play at daycare. Read More

Int J Pediatr Otorhinolaryngol 2019 Jul 3;122:117-125. Epub 2019 Apr 3.

Department of Otorhinolaryngology, Head and Neck Surgery, St. Elisabeth-Hospital, Ruhr University Bochum, Bochum, Germany.

Objectives: Bone conduction hearing devices integrated in softbands (BCDSs) are frequently not well accepted by children with conductive hearing loss due to pressure on the head, sweating, or cosmetic stigma. A non-surgical hearing system (ADHEAR) uses a new bone conduction concept consisting of an audio processor connected to an adhesive adapter fixed behind the ear. This study is the first to evaluate the audiological and clinical outcome of this novel system, comparing it with conventional BCDSs in a short- and mid-term follow-up in children under 10 years of age. Read More

Otolaryngol Clin North Am 2019 Apr;52(2):195-210

Department of Otolaryngology, Long Island Jewish Medical Center, Hearing and Speech Center, Northwell Health, 430 Lakeville Road, New Hyde Park, NY 11042, USA.

Implantable auditory devices (IADs) are a viable hearing restoration option for patients with hearing loss. Conditions such as chronic otitis externa, congenital aural atresia, and chronic otitis media can be treated with a variety of implants. Progressive disease are also amenable to restoration with IADs, providing stabilized hearing. Read More

J Formos Med Assoc 2019 Aug 20;118(8):1202-1210. Epub 2019 Feb 20.

School of Medicine, Chang Gung University, Taoyuan, Taiwan; Craniofacial Research Center, Division of Craniofacial Surgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan. Electronic address:

Background/purpose: The Bonebridge (BB) is a newly designed transcutaneous bone conduction hearing implant. We describe, for the first time, simultaneous BB implantation and different surgical techniques of auricular reconstruction for microtia patients with aural atresia/stenosis.

Methods: Ten patients with unilateral or bilateral microtia underwent BB implantation combined simultaneously with either total auricular reconstruction using bespoke hand-carved Medpor framework or second stage auricular projection using autologous costal cartilage framework. Read More

Acta Otolaryngol 2019 Feb 14;139(2):122-128. Epub 2019 Feb 14.

a Department of Otolaryngology-Head & Neck Surgery, Division of Medical Science , Eulji University Hospital, Chungnam National University , Daejeon , Korea.

Background: Paper patching, a method that places cigarette paper over the most mobile quadrants of the tympanic membrane, is one of the treatment options for patulous eustachian tube (PET).

Aims/objectives: The objective of this study was to compare the outcomes of two different treatment strategies for PET.

Material And Methods: Twenty-three patients underwent paper patching of the tympanic membrane and 16 patients were treated with nasal saline irrigation with or without ipratropium bromide nasal spray. Read More

J Prev Alzheimers Dis 2019 ;6(2):112-120

Yakeel T. Quiroz, PhD Assistant Professor, Harvard Medical School, Departments of Psychiatry and Neurology, Massachusetts General Hospital, 100 1st Avenue, Building 39, Suite 101, Charlestown, MA 02129, Phone (617) 643-5944; Fax: (617) 726-5760, E-mail:

The study of individuals with autosomal dominant Alzheimer's disease affords one of the best opportunities to characterize the biological and cognitive changes of Alzheimer's disease that occur over the course of the preclinical and symptomatic stages. Unifying the knowledge gained from the past three decades of research in the world's largest single-mutation autosomal dominant Alzheimer's disease kindred - a family in Antioquia, Colombia with the E280A mutation in the Presenilin1 gene - will provide new directions for Alzheimer's research and a framework for generalizing the findings from this cohort to the more common sporadic form of Alzheimer's disease. As this specific mutation is virtually 100% penetrant for the development of the disease by midlife, we use a previously defined median age of onset for mild cognitive impairment for this cohort to examine the trajectory of the biological and cognitive markers of the disease as a function of the carriers' estimated years to clinical onset. Read More

Auris Nasus Larynx 2019 Apr 2;46(2):151-159. Epub 2019 Feb 2.

Department of Otolaryngology-Head and Neck Surgery, Nara Medical University, Kashihara, Japan.

It has been long considered that air and bone are the two major mediators that conduct sounds to the inner ear. In 2004, Hosoi found that vibration of aural cartilage, generated by placing gently a transducer on it, could create audible sound with the same level of clarity as air- and bone-conduction sound. He thus proposed the term "cartilage conduction" for this concept. Read More

Dermatol Online J 2019 Jan 15;25(1). Epub 2019 Jan 15.

Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana.

A 26-year-old man with a history of congenital bilateral microtia, unilateral renal agenesis, left aural atresia, and right external auditory canal occlusion admitted for right rib cartilage graft harvest and left ear re-construction. Following surgery, an ulceration with violaceous borders and a yellow fibrinous base unresponsive to broad-spectrum antibiotics developed at the harvest site. The wound was expanding and not responsive to systemic broad-spectrum antibiotics. Read More

Neurology 2019 02 23;92(8):360-361. Epub 2019 Jan 23.

From Massachusetts General Hospital Stroke Research Center and Harvard Medical School (S.M.G.), Boston, MA; and Department of Clinical Neurosciences and Hotchkiss Brain Institute (E.E.S.), University of Calgary, Canada.

Auris Nasus Larynx 2019 Oct 19;46(5):709-715. Epub 2019 Jan 19.

Department of Otolaryngology-Head and Neck surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.

Objective: Cartilage conduction (CC) is a new transduction form, and hearing devices that utilize CC present a new option for patients with aural atresia. However, in occluded ears, low-tone sounds are transmitted very effectively, resulting in excessive low-tone sound emphasis and speech recognition reduction. This study aimed to clarify low-tone speech recognition for CC in occluded ears, and determine if excessive low-tone sound emphasis decreases maximum speech recognition scores. Read More

Int J Pediatr Otorhinolaryngol 2019 Apr 14;119:54-58. Epub 2019 Jan 14.

Sanatorio Allende, Cordoba, Argentina.

Objectives: The objective of this study is to evaluate the safety and efficacy of the transcutaneous Bone Conduction Implant, the Bonebridge, in patients with congenital aural atresia.

Methods: Audiometry, speech recognition test and free field audiometry were performed. Word recognition scores and speech perception was evaluated using Spanish phonetically-balanced disyllables word list. Read More

Int J Pediatr Otorhinolaryngol 2019 Mar 7;118:165-169. Epub 2019 Jan 7.

Department of Otorhinolaryngology, Head and Neck Surgery "Otto Koerner", Rostock University Medical Center, Rostock, Germany.

Objectives: Foreign body incorporation in children is often a serious situation. Attention deficit hyperactivity disorder (ADHD) could be a risk factor for self-insertion of foreign bodies. Large cohort analyses are missing. Read More

Otolaryngol Clin North Am 2019 Apr 3;52(2):265-272. Epub 2019 Jan 3.

House Clinic, 2100 West 3rd Street, Suite 111, Los Angeles, CA 90057, USA. Electronic address:

Bonebridge is an active bone conduction device that consists of a bone conduction-floating mass transducer (BC-FMT) and magnet internally and an audio processor externally. Surgery for implantation can be performed under local anesthesia but requires surgical planning for adequate bone depth for the BC-FMT well. Bonebridge does not require osseointegration to function, so the device can be activated early. Read More

Indian J Otolaryngol Head Neck Surg 2018 Dec 29;70(4):587-590. Epub 2018 May 29.

Department of ENT, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, India.

The term congenital aural atresia is used to describe failure of external auditory canal to open. Thus it results in conductive hearing loss. There are ways to improve the transmission of sound to the healthy inner ear, we have performed surgery to open the ear canal and restore the natural sound-conducting mechanism to the inner ear. Read More

Clin Exp Otorhinolaryngol 2019 May 7;12(2):176-180. Epub 2018 Nov 7.

Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea.

Objectives: The aim of this study was to analyze the incidence of inner ear anomalies in patients with unilateral congenital aural atresia (CAA) combined with microtia.

Methods: We retrospectively reviewed 61 patients with unilateral CAA combined with microtia who underwent high-resolution temporal bone computed tomography (TBCT) and hearing examination. Inner ear anomalies were analyzed using TBCT and evaluated according to the Jahrsdoerfer grading system, Marx classification, and extent of inferior displacement of the mastoid tegmen. Read More

Int J Pediatr Otorhinolaryngol 2018 Nov 8;114:175-179. Epub 2018 Sep 8.

Department of Otorhinolaryngology, University Medical Center Utrecht, Heidelberglaan, 100, 3584, CX, Utrecht, The Netherlands; Cochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address:

Background: Little is known about the academic performance of children with unilateral congenital aural atresia (CAA).

Objective: of review: Our objective was to summarize what is known about the academic performance of children with hearing loss by unilateral congenital aural atresia, in order to provide pragmatic recommendations to clinicians who see children with this entity.

Type Of Review: Systematic review. Read More

Auris Nasus Larynx 2019 Apr 7;46(2):204-209. Epub 2018 Sep 7.

Sen-En Rifu Otologic Surgery Center, Miyagi-gun, Miyagi, Japan.

Objective: A method of Vibrant Soundbridge (VSB) placement to the round window (RW) via the retrofacial approach with preoperative evaluation of the relationship between the facial nerve (FN) and RW by 3D-CT reconstruction was proposed for the treatment of congenital aural atresia (CAA) patient.

Methods: A fenestration to the mesotympanum was made mastoid portion of the FN. During the approach, part of the stapedial muscle was encountered and removed. Read More

Hear Res 2018 12 26;370:238-247. Epub 2018 Aug 26.

Department of Biophysics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands; Department of Otorhinolaryngology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands.

Different amplification options are available for listeners with congenital unilateral conductive hearing loss (UCHL). For example, bone-conduction devices (BCDs) and middle ear implants. The present study investigated whether intervention with an active BCD, the Bonebridge, or a middle ear implant, the Vibrant Soundbridge (VSB), affected sound-localization performance of listeners with congenital UCHL. Read More

Otolaryngol Head Neck Surg 2018 10 7;159(4):601-602. Epub 2018 Aug 7.

2 Department of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Intraoperative facial nerve monitoring (IOFNM) has evolved from requiring sophisticated electromyography equipment to a self-contained monitor with an auditory signal. Subspecialty ear surgeons currently use IOFNM in most otologic and temporal bone procedures as it improves facial nerve outcomes. Our competency and near-universal adoption of IOFNM notwithstanding, otolaryngologists are rarely reimbursed for this procedure. Read More

J Laryngol Otol 2018 Aug 16;132(8):693-697. Epub 2018 Jul 16.

Department of Otorhinolaryngology - Head and Neck Surgery,Sarawak General Hospital,Malaysia.

Objectives: To investigate the surgical and audiological outcomes of the Bonebridge transcutaneous bone conduction hearing implant among children with congenital aural atresia.

Methods: Six children were recruited and underwent Bonebridge transcutaneous bone conduction implant surgery. The patients' audiometric thresholds for air conduction, bone conduction and sound-field tests were assessed pre-operatively and at six months post-operatively. Read More

JAMA Otolaryngol Head Neck Surg 2018 08;144(8):704-709

Division of Pediatric Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.

Importance: Patients with aural atresia typically have maximal conductive hearing loss, which can have negative academic and social consequences. Transcutaneous osseointegrated implants (TOIs) can potentially restore hearing on the affected side.

Objectives: To review the demographic, audiological, and surgical outcomes of TOI placement in pediatric patients with aural atresia and to describe a modification in incision technique in anticipation of later auricular reconstruction. Read More

Int J Pediatr Otorhinolaryngol 2018 Jul 5;110:118-122. Epub 2018 May 5.

Department of Otolaryngology-Head & Neck Surgery, Emory University School of Medicine, 1365 Clifton Road, Atlanta, GA 30322, USA. Electronic address:

Objectives: The right jugular foramen is usually larger than the left in Homo sapiens, but it is unknown if right-sided jugular dominance is also more common amongst those with unilateral congenital aural atresia. We hypothesized that the dominant (i.e. Read More

Oral Surg Oral Med Oral Pathol Oral Radiol 2018 Oct 7;126(4):e233-e239. Epub 2018 May 7.

Professor and Director, Division of Oral and Maxillofacial Radiology, Diagnostic Sciences, Texas A&M University College of Dentistry, Dallas, TX, USA.

Background: Goldenhar syndrome, also known as oculo-auriculo-vertebral spectrum, is a variant of hemifacial microsomia, a congenital condition affecting primarily aural, oral, and mandibular development, with vertebral anomalies, ocular abnormalities, and epibulbar dermoids. As a complex and heterogeneous condition, this disorder varies from mild to severe, and involvement is unilateral in many cases, but bilateral involvement is also known to occur. It presents several complex problems in treatment, requiring an integrated, multidisciplinary approach. Read More