Microtia and ear canal atresia are relatively rare conditions that present unique challenges for hearing rehabilitation and ear reconstruction that need to be addressed in a coordinated way. At Texas Children’s, we offer an individualized plan of care including the latest in diagnostic workup, hearing aid technology and surgical interventions, starting at three months of age and into the teenage years. Because we have the necessary team of specialists in one single location, we can optimize access, communication and coordination of care.

Our General Care Timeline

  • At Birth – Newborns receive a hearing screening at the birth hospital, and are then referred to an audiologist for an auditory brainstem response (ABR) test, which is a more definitive hearing test.
  • Birth to six months – Infants are evaluated by a pediatric ENT and discuss use of a bone conduction hearing aid. They also receive a kidney ultrasound at this stage.
  • After six months – Children meet annually with their pediatric ENT and audiologist to check their hearing aid, check hearing in the normal ear, and address any concerns about speech development.
  • Three years old and up – Patients receive a CT scan of the temporal bones to evaluate the middle and inner ear anatomy and discuss aural atresia repair or an implantable bone conduction device. Alloplastic External Ear Reconstruction Consultation via telemedicine or in plastic surgery clinic. Reconstruction of ear canal or placement of bone anchored hearing aid should be considered at time of Alloplastic Ear reconstruction.
  • Eight to nine years old – Autologous Ear Reconstruction consultation via telemedicine or in clinic visit. Implantation of a hearing device may be done at the same time as one of the stages of Autologus Microtia repair.