![]() ![]() In addition, speech therapy will be recommended as soon as a child begins to talk. Patients with bilateral aural atresia receive bone conduction hearing aids within the first few months of life. Further treatment to address hearing problems or the development of the middle or inner ear may be required. Ear reconstruction can be based on a Medpore framework (one stage) or a cartilaginous framework (multiple stages). Depending on the surgeon’s preferred technique, one stage or multiple stages of surgery may be needed. Surgeries to treat microtia can be performed as early as 4 years of age. Surgical procedures are based on the type of anomaly being treated: Surgery is the typical treatment for congenital ear anomalies. The surgeons work with your family to create a treatment plan that meets the specific needs of your child. Doctors with the Cleft & Craniofacial Anomalies Program at Riley at IU Health work closely with pediatric ear, nose and throat surgeons to address any inner ear issues that your child may have. There are several types of hearing tests available to evaluate the hearing of infants and children to determine the need for a hearing aid. Based on the physical exam, hearing and language screenings may be needed. In general, congenital ear anomalies are diagnosed through a physical exam. Children with the most severe cases have ears that are rolled almost into a tube, with inner ear deformities that can affect hearing. The condition can range from mild to severe. Lop/cupped ears means that the rim of the ear is tightened or constricted. Practical concerns, such as proper fitting of eyeglasses, are also factors in treating prominent ears. This abnormality is primarily cosmetic, but it can have negative effects on self-esteem. Microtia can also occur along with other facial anomalies such as oculo auriculo vertebral spectrum disorders. Children with aural atresia typically also have incomplete formation of the small middle ear bones and may lack an eardrum. Some children with aural atresia require a hearing aid. In some cases, a child with microtia has no hearing in the affected ear because of the absence of the external ear canal. Without the external structures to funnel sound to the inner ear, children often have difficulty hearing and determining the direction of sound. This condition can occur on one or both sides of the head. ![]() Microtia means “small ear.” Most children with microtia have a normally formed inner ear but lack all or part of the structures that form the outer ear, including the opening in some cases. There are several types of congenital ear anomalies each type has different symptoms. ![]()
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