{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T17:21:48Z","timestamp":1774891308513,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T00:00:00Z","timestamp":1668556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Microtia and aural atresia are congenital ear anomalies with a wide\u2010ranging spectrum of phenotypes and varied functional and psychosocial consequences for patients. This study seeks to analyze the management of microtia\u2010atresia patients at our center over a 20\u2010year period and to propose recommendations for advancing microtia\u2010atresia care at a national level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective analysis of data from patients presenting to the Massachusetts Eye and Ear (Boston, MA) for initial otolaryngology consultation for congenital microtia and\/or aural atresia between 1999 and 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over the 20\u2010year study period, 229 patients presented to our microtia\u2010atresia center at a median age of 7\u2009years. The severity of microtia was most commonly classified as grade III (<jats:italic>n<\/jats:italic>\u00a0=\u200987, 38%), 61% (<jats:italic>n<\/jats:italic>\u00a0=\u2009140) of patients had complete atresia, the median Jahrsdoerfer grading scale score was 6 (range 0\u201310), and 81 patients (35%) underwent surgery for microtia repair. For hearing rehabilitation, 30 patients (64%) underwent bone conduction device implantation and 17 patients (36%) underwent atresiaplasty. The implementation of an interdisciplinary, longitudinal care model resulted in an increase in patient (r\u00a0=\u00a00.819, <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.001) and surgical volume (microtia surgeries, r\u00a0=\u00a00.521, <jats:italic>p<\/jats:italic>\u00a0=\u2009.019; otologic surgeries, r\u00a0=\u00a00.767, <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.001) at our center over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An interdisciplinary team approach to microtia\u2010atresia patient care may result in increased patient volume, which could improve aesthetic and hearing outcomes over time by concentrating care and surgical expertise. Future work should aim to establish standardized clinical consensus recommendations to guide the creation of high\u2010quality microtia\u2010atresia care programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.896","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T06:42:25Z","timestamp":1668667345000},"page":"2103-2111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Development of an interdisciplinary microtia\u2010atresia care model: A single\u2010center 20\u2010year experience"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6057-9462","authenticated-orcid":false,"given":"Krupa R.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear Infirmary Harvard Medical School  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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tessa","family":"Hadlock","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear Infirmary Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7786-7812","authenticated-orcid":false,"given":"David","family":"Shaye","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear Infirmary Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4075-0960","authenticated-orcid":false,"given":"Alicia M.","family":"Quesnel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear Infirmary Harvard Medical School  Boston 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