Aural Atresia and Microtia Center
The Aural Atresia and Microtia Center is composed of an experienced team of individuals, who manage the challenging and complex condition of aural atresia and microtia. The Center focuses on the delivery of patient care for this condition in three ways:
- Hearing Assessment & Rehabilitation
- Genetic Counseling
As in many areas of our specialty, a multidisciplinary approach is necessary to optimize patient care. We are proud of this group of individuals who are dedicated to the comprehensive management of aural atresia/microtia. In addition to being a major referral center for microtia/atresia, various members of the team are involved in mission trips to the Dominican Republic with Project Ear to treat children with this problem.
- Pediatric otolaryngologist David R. White, M.D., has particular interest in auricular reconstruction using rib cartilage, and he has been able to achieve consistently excellent cosmetic results.
- Our team discusses the option of a prosthetic ear with patients and families as an alternative to the multi-staged surgical reconstruction. Betsy K. Davis, D.M.D., MS, is recognized as a national expert in fashioning various head and neck prostheses, including the outer ear. Her approach utilizes 3D imaging to optimize form and contour match with the contralateral side in unilateral cases.
- Paul R. Lambert, M.D. and Ted A. Meyer, M.D., Ph.D. perform the surgery to reconstruct the ear canal, tympanic membrane, and ossicular chain. Dr. Lambert’s interest in this surgery spans 25 years, and his results have been detailed in numerous publications and book chapters.
- Hearing Assessments
- Successful treatment of pediatric patients with various ear deformities and diseases requires the incorporation of an accurate assessment of hearing and, when appropriate, hearing aid fitting as early as several months of age. Kimberly A. Orr, MA, has been our Director of Pediatric Audiology for more than 15 years and is extremely skilled in the audiological assessment of young patients.
- In addition to conventional bone-conduction hearing aids, the use of the BAHA device has provided a new avenue of rehabilitation. At our Center, the highly predictable results with the BAHA device have also enabled us to be highly selective in choosing patients for hearing reconstruction. Of the more than 500 patients with microtia and atresia evaluated over the years, approximately 40 to 50 percent have undergone surgery.
- Genetic Counseling
- The Center also recognizes the value of providing genetic counseling to parents of patients with microtia and atresia. G. Shashidar Pai, M.D., Director of the Division of Genetics and Developmental Pediatrics, provides families with such counseling and genetic evaluation as needed.
- David R. White, M.D.
- Betsy K. Davis, D.M.D., MS
- Paul R. Lambert, M.D.
- Ted A. Meyer, M.D., Ph.D.
- Kimberly A. Orr, MA
- G. Shashidar Pai, M.D.