Types of Pediatric ear deformities and how to deal with it? - Dr. Satish Babu K скачать в хорошем качестве

Types of Pediatric ear deformities and how to deal with it? - Dr. Satish Babu K

It is not a common issue but we do still see lot of these in our population. The can be divided into congenital or by birth occurring problem or acquired , that is baby is born and later the deformity is acquired. Congenital or by birth deformities can be anything form no ear or partly absence of the ear or some deformities in the shape like flattening or lop ears or cup shaped ears or pointed ears. These deformities can be seen at birth. There can be additional ear tags or in the front triangular portion, is called as tragus. So there can be additional tags in front of the ear or around the ear and there can be ear lobe or lobule or the soft part of the ear that can be deformed there can be clefts or fissures or there can be benign tumors that can occur like hemangiomas. Coming to acquired one there can be infective pathology here the ear can be infected and that deforms into a cauliflower where the scar tissue shrinks it and makes it look into like a cauliflower. There can be injuries where the ear pinna can get torned of can be deformities persisting with life. There can be tumors by birth. The pinna deformities can be associated with problems in the ear canal or ear structure or the hearing mechanism can be deformed i that process. There can be consequently hearing loss and balance problems. These deformities especially the congenital ones can be syndromic, that is this is not the isolated deformity, there can be other issues like cardiac problems with the mandibular jaw or one side of the face cannot be developed well. This is syndromic where there is a well defined set of deformities where there can be a syndrome. It can be isolated without any other instances, only a single deformity of the ear , may or may not be associated with hearing loss. The most important aspect is the cosmetic implications. Given the fact that the baby’s head, the skull is growing till about his or her teens 17 or 18 years of age, the ear will also grow accordingly. So the baby’s ear is small about 3 cms and grown mans ear can be about 7 to 8 cms in vertical length. So there has to be a stepwise correction of the cosmetic deformity. Wait for the baby to mature to adulthood and once the bone growth is done, then we can mould the ear to the appropriate size to the skull the other important part is the loss of hearing or impairment of hearing. To assess the hearing, we will assess right at birth and keep on following it up. Give the baby a better hearing ear because the formative years 4 to 5 years of age is when the baby is able to learn newer skills, language and speech. So if we can provide the baby with a clear hearing, then the baby’s speech will be fine and he can perform well like any normal child. So earlier detection and earliest possible intervention can be done. Depending on the severity of the hearing loss and the patients affordability, we have various options like basic recreating the ear canal so that the existing ear drum can be used to hear with cochlear implantation or hearing aids where baby is made to hear with hearing devices and the baby’s languages helped to be developed.