{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T17:26:47Z","timestamp":1770485207839,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T00:00:00Z","timestamp":1461283200000},"content-version":"vor","delay-in-days":9274,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1990,12]]},"abstract":"<jats:p>During the past 4 years, 22 patients with congenital atresia of the external auditory canal underwent 24\u00a0initial operations by either an anterior or transmastoid approach. No attempt at randomization was made, but the two groups were similar in number and pathology (in 14 cases approach was anterior and in 10 cases approach was transmastoid). Followup ranged from 6\u00a0months to 4 years. Hearing results were similar in the two groups (71% with air\u2010bone gap less than 30\u00a0dB). There were no instances of facial nerve injury or sensorineural hearing loss. Facial nerve monitoring was used. Complications of stenosis and drainage were more common with the transmastoid approach. In both groups, hearing results were accomplished with the patients' intact ossicles or prosthetic reconstructions. Meticulous soft\u2010tissue technique, with split\u2010thickness grafts covering all exposed bone, is the key to preventing stenosis. For the three cases of patients with thick, acellular atresia plates, a different approach was developed. Maintaining proper orientation during the medial dissection is more difficult in these cases. By opening the antrum primarily and identifying the lateral canal, ossicles, and facial nerve, an ear canal can then be created anteriorly with these landmarks in view. An intact canal wall\u2010like procedure is carried out. Although hearing results are similar, the anterior approach, because of fewer postoperative complications, is now our procedure of choice. Proper orientation and soft\u2010tissue technique are the keys to successful correction of the congenitally atretic ear canal.<\/jats:p>","DOI":"10.1177\/019459989010300618","type":"journal-article","created":{"date-parts":[[2016,4,8]],"date-time":"2016-04-08T21:30:00Z","timestamp":1460151000000},"page":"991-1001","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Surgical approaches to congenital atresia of the external auditory canal"],"prefix":"10.1002","volume":"103","author":[{"given":"Timothy B.","family":"Molony","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Ochsner Clinic Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"De La Cruz","sequence":"additional","affiliation":[{"name":"Alton Ochsner Medical Foundation House Ear Institute New Orleans Louisiana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,22]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1931.03660010011001"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1943.00670040352005"},{"key":"e_1_2_1_3_2","unstructured":"Transactions of the Annual Meeting of the American Laryngological Rhinological & Otological Society1943;136\u201349."},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1947.00690010582006"},{"key":"e_1_2_1_5_1","first-page":"840","article-title":"The problem of congenital auricular malformation. 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R\u00e9sultats","volume":"31","author":"Ombredanne M","year":"1947","journal-title":"Otol Rhinol Laryngol Int"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-195608000-00008"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02129204"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1968.00770010065012"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989010300618","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989010300618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:46:26Z","timestamp":1760967986000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989010300618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,12]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1990,12]]}},"alternative-id":["10.1177\/019459989010300618"],"URL":"https:\/\/doi.org\/10.1177\/019459989010300618","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1990,12]]},"assertion":[{"value":"1989-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1990-07-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-04-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}