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  • Title: Congenital atresia of the external auditory canal.
    Author: De la Cruz A, Linthicum FH, Luxford WM.
    Journal: Laryngoscope; 1985 Apr; 95(4):421-7. PubMed ID: 3884941.
    Abstract:
    Children with congenital atresia of the external auditory canal require an early assessment of hearing and a determination of the degree of atresia and associated pathology by polytomography and/or high-resolution CT scanning. We analyzed the otologic findings in 302 ears (239 patients) with severe atresia of the external auditory canal. Eighty-seven primary or revision surgeries were performed. Fifty-three percent obtained a residual conductive deficit of 20 dB or less. Lateralization of the tympanic membrane graft was the primary cause of failure in obtaining good hearing results. The use of split-thickness skin graft instead of a full-thickness skin graft to cover the reconstructed external canal has decreased the incidence of restenosis and revision surgery.
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