Microtia- A Baby Born with Small Ears

Image Source: CDC

Parents brought a newborn with bilateral small ears without any other congenital anomaly. A case of grade III microtia.

Parents brought a 16-day-old neonate with complaints of unable to take feed since birth. Moreover, the baby was also having cough, discharge from the eyes, hearing impairment, bilateral small ears (microtia), and regurgitation of milk via nose and mouth. The baby was a product of a non-consanguineous marriage. He was born at term via normal vaginal delivery, having a birth weight of 2.750 gm.

This was the mother’s second pregnancy and she had no prenatal care or ultrasounds during the pregnancy. She did not take any multivitamins, iron, or folic acid either. العاب فلوس حقيقية However, she had taken two doses of tetanus toxoid during the pregnancy.

Family history was negative for microtia in the baby’s maternal or paternal family.

Physical examination of the neonate revealed bilateral underdeveloped ears. The ears were different in shape, small in size, and were not normally placed. The doctors diagnosed the baby with grade-3 bilateral microtia. However, the child did not have any other congenital malformations or diseases.

microtia grades
Image Source: Ear Community

Serological investigations including CBC, CRP, and I/T ratio revealed abnormal values. The newborn was receiving nasogastric feeds from the first day of his birth. However, due to lack of standard aseptic technique, the baby developed sepsis. Additionally, the BAER test (Brain Stem Auditory Response Test) results indicated bilateral conductive hearing loss. لعبة الروليت في العراق

The doctor counselled the parents regarding the reconstruction of the ear. With their consent, the planned the surgery, once the baby would reach 4-5 years of age or above.

Children who have mild microtia without hearing impairment may not require any treatment. However, with grade 3 microtia, ear reconstructive surgery is the only treatment. Surgeons use rib cartilage to reconstruct the ear. اربح Another option is to use synthetic (alloplastic) reconstruction which uses premade synthetic ear framework made of polyethylene.

SOURCE Devi K.R, A Rare Case of Bilateral Microtia, International Journal of Nursing & Midwifery Research, 5; 2018:50-52 DOI: https://doi.org/10.24321/2455.9318.201811
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Dr. Arsia Hanif has been a meritorious Healthcare professional with a proven track record throughout her academic life securing first position in her MCAT examination and then, in 2017, she successfully completed her Bachelors of Medicine and Surgery from Dow University of Health Sciences. She has had the opportunity to apply her theoretical knowledge to the real-life scenarios, as a House Officer (HO) serving at Civil Hospital. Whilst working at the Civil Hospital, she discovered that nothing satisfies her more than helping other humans in need and since then has made a commitment to implement her expertise in the field of medicine to cure the sick and regain the state of health and well-being. Being a Doctor is exactly what you’d think it’s like. She is the colleague at work that everyone wants to know but nobody wants to be. If you want to get something done, you approach her – everyone knows that! She is currently studying with Medical Council of Canada and aspires to be a leading Neurologist someday. Alongside, she has taken up medical writing to exercise her skills of delivering comprehensible version of the otherwise difficult medical literature. Her breaks comprise either of swimming, volunteering services at a Medical Camp or spending time with family.


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