One of the most severe congenital malformations of the auricle is underdevelopment and its complete absence. Less often there is underdevelopment of ear shells on both sides. Treatment of underdevelopment of ear shell is possible only from the age of seven.
Content
The concept of underdevelopment of ear shells
The most severe form of congenital deformation of the auricle is underdevelopment of it up to the complete absence. Often, the underdevelopment of the ear shell occurs on the one hand and is associated with other defects of the development of the person, such as underdevelopment of the lower jaw, zoom bones and soft tissues of the cheek, cross-cleaner of the mouth - Macrotom. This condition is called hemipalic microsomy syndrome. Less frequently underdevelopment of the ear shells arises from 2 sides and also associated with 2-sided symmetrical underdevelopment of the lower jaw, zoomy bones and soft fabrics of the face, which is often found when Collins Trycher syndrome. Sometimes the underdevelopment of the ear shell is an independent definition of development not related to other bodies. And sometimes there are other independent defects, such as kidney flavors, heart disease, brain defects, limbs, and t.D.
The underdevelopment of ear-sinks is a very rare pathology. For most defects, it is not possible to establish the cause. In some syndromes, the hereditary nature of the disease is proved.
Symptoms underdevelopment of ear shell
The underdevelopment of the ear shell is usually manifested in the damage to the cartilage of the part of the ear and to a lesser extent affects the lobe. It can manifest itself in the twistedness of the upper pole (rolled ear sink), in a sharp decrease in the size of the upper two-thirds of the ear, and in the almost complete absence of a cartilaginous ear. With underdevelopment of the ear shell, usually the development of the internal cavities of the ear responsible for conducting sound is violated to one degree or another.
Treatment of underdevelopment of ear shells
Unfortunately, the surgical treatment of children with the underdevelopment of the ear may not be earlier than 7 years of age, since it is precisely to this age a child's ear shell to become practically the same as an adult. To create a frame of ear, materials of inorganic origin (silicone, teflon, polyethylene) and cartilage grafts are used. In cases where there is a bilateral lesion of not only ear shells, but also a decrease in hearing was shown earlier wearing hearing aids (hearing-leating) in order not to cause a retardation of psycho-speech development in children. Modern devices can be used in children in the first year of life. In some cases, children at the age of 3-4 years old with 2-sided defeat can be attempted to improve the hearing surgically. With one-sided lesion, listening operations are carried out in very rare cases. An alternative to surgical treatment is the manufacture and wearing of the removable pasture of the ear shell, the method is widespread abroad.
The results of cosmetic treatment are currently although they still continue to search for new materials and methods of plastics, in order to maximizely recreate such a complex organ as an auricle.
The lack of ear is in no way due to the mental and physical abilities of children. Reveal the accompanying defective defects and establish the risk of intellectual and physical development possible only with a comprehensive examination of such children. Therefore, refuse children only «cosmetic» Reasons crime.
