{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:06:35Z","timestamp":1771488395344,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,8,8]],"date-time":"2015-08-08T00:00:00Z","timestamp":1438992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To identify the rate of hearing loss related to middle ear disease and the frequency of tympanostomy tube (TT) insertion in the contralateral ear of patients with unilateral microtia\/aural atresia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series of patients less than 3 years of age with unilateral microtia\/aural atresia treated at an urban, tertiary care children's hospital from 2008 to 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Clinical and audiologic data were reviewed. Statistical analysis was performed to determine the relative risk of TT insertion in the normal ear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 72 patients were included for analysis. The average age of patients at their initial otolaryngology visit was 3.3 months (range 0.08\u20131.67 years); 38 (52.8%) patients were males. Aural atresia involved the right ear in 43 (59.7%) cases. Five (6.9%) patients were syndromic. Abnormal audiometric testing of the normal ear was noted in 12 (16.7%), and 14 (19.4%) underwent TT during the first 3 years of life. Twelve children (85.7%) who had a TT placed were nonsyndromic. When compared to published norms for TT placement in the general population (6.8% of children\u2009&lt;\u20093 year of age), a greater proportion of children with unilateral microtia\/aural atresia had TT placement in the normal ear (<jats:italic>z<\/jats:italic>\u2009=\u20094.26, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with unilateral microtia\/aural atresia have increased rates of hearing loss and middle ear effusion leading to TT in their normal ear at a higher rate versus the general population. This information can help guide more vigilant care and audiologic follow\u2010up in affected children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 126:1470\u20131474, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25530","type":"journal-article","created":{"date-parts":[[2015,8,8]],"date-time":"2015-08-08T13:28:41Z","timestamp":1439040521000},"page":"1470-1474","source":"Crossref","is-referenced-by-count":16,"title":["Management of hearing loss and the normal ear in cases of unilateral Microtia with aural atresia"],"prefix":"10.1002","volume":"126","author":[{"given":"Kathleen R.","family":"Billings","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Ann &amp; Robert H. Lurie Children's Hospital of Chicago Chicago Illinois U.S.A"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University, Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannan","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University, Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Ann &amp; Robert H. Lurie Children's Hospital of Chicago Chicago Illinois U.S.A"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University, Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Ittner","sequence":"additional","affiliation":[{"name":"Department of Audiology Ann &amp; Robert H. Lurie Children's Hospital of Chicago Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen R.","family":"Hoff","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Ann &amp; Robert H. Lurie Children's Hospital of Chicago Chicago Illinois U.S.A"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University, Feinberg School of Medicine Chicago Illinois U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2011.12.009"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.12.001"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20626"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.04.020"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2010.499879"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.90.2.245"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2011.11.020"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(79)80003-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182a36065"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.03.024"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.4.725"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.5.524"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2448"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813487302"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25530","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25530","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.25530","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:13:20Z","timestamp":1695492800000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.25530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,8]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1002\/lary.25530"],"URL":"https:\/\/doi.org\/10.1002\/lary.25530","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,8]]}}}