BAHA: A bone-anchored hearing device will help transmit sound waves to the inner ear.Nonetheless, they can improve auditory processing and language development: These options will not restore hearing as successfully. If your child does not qualify for ear canal reconstruction, we can recommend an alternative treatment. This young patient can now hear properly while having a normal appearance. We also partner with the local Ronald McDonald House to provide long-term housing. We offer free accommodation for two nights at a nearby Four Seasons. We know that many patients come from long distances to receive our care. The second appointment will usually take place two weeks later. In most cases, your little one will have the first follow-up one to two days after surgery. Though it is an outpatient surgery, we will still need to monitor your child’s progress and healing. These combined procedures can restore hearing as well as aesthetics.Ĭombined Atresia MEDPOR® (CAM) surgery is a rather extensive process. Reinisch will reconstruct the outer ear, typically using the MEDPOR® technique. In some cases, the doctor may need to create a new eardrum as well, using an additional skin graft. He or she will line this opening with a skin graft and, if necessary, reposition the inner ear bones to ensure better hearing. Your child’s surgeon will first create an opening where the ear canal would normally be located. To ensure your child’s complete safety, we work with experienced pediatric anesthesiologists. The surgery itself will take place under general anesthesia. Your treatment team will carefully plan the procedure during an initial consultation. Reinisch will perform the cosmetic aspects of the procedure, typically using a polyethylene MEDPOR® implant to create an outer ear framework. Ear Canal ReconstructionĪ trusted otologist will perform ear canal reconstruction, also known as canaloplasty. However, in most cases, we will not perform surgery until your little one is at least three years old. Therefore, it is important to treat aural atresia as early as possible. Children adopt these skills much more easily than adults. You can compare this process to learning a new language or learning to play the piano. As they hear and process new sounds, it stimulates their brains and strengthens neurological function. When children are very young, they are going through a critical developmental stage. Reinisch will consult with an audiologist, otologist, and other specialists to determine your child’s eligibility for treatment. Children must be at least two-and-a-half years old to receive a CT scan. These images will also reveal whether the inner ear bones have fused together, another condition that will limit candidacy for surgical repair. The majority of patients meet this requirement. Reinisch will take a CT scan of the inner ear to make sure that he or she has a healthy cochlea, which is necessary for successful surgery. If your child suffers from aural atresia, he or she may be a candidate for ear canal reconstruction. Reinisch Plastic Surgery is the only practice that combines aural atresia repair and microtia treatment into a single outpatient surgery. Thus, the auditory nerve cannot transmit signals to the brain, where these signals would be registered as sounds. As a result, sound waves are not able to travel through the ear to vibrate the eardrum, hearing bones, and inner ear fluid. In some cases, the inner ear is missing entirely. Candidates for Aural Atresia RepairĪural atresia is a congenital condition that inhibits inner ear development. At the same time, if your child does not qualify for ear canal reconstruction, we can recommend an alternative treatment to improve your child’s hearing. In this way, we can minimize discomfort, recovery time, and expense. In collaboration with an otologist, he can actually rebuild the inner ear, restoring near-complete hearing. John Reinisch offers comprehensive aural atresia repair at his Beverly Hills, CA, practice, which draws patients from around the world. Underdeveloped ear canals can impact your child’s hearing, speech, language development, and learning abilities.
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