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Demographic, Functional, and Risk Factors Characterization in Ecuadorian Mestizo Patients With Microtia: A Retrospective Study.
González-Andrade, Fabricio; Coello, Fausto; López-Pulles, Ramiro; Fuenmayor, Guillermo; Andrade, Edwin; Vásconez, Henry.
Afiliação
  • González-Andrade F; Indoamerica Technological University, Faculty of Health Sciences and Wellbeing, Machala y Sabanilla.
  • Coello F; Central University of Ecuador, Faculty of Medical Sciences, Translational Medicine Unit.
  • López-Pulles R; Central University of Ecuador, Faculty of Medical Sciences, Translational Medicine Unit.
  • Fuenmayor G; Central University of Ecuador, Faculty of Medical Sciences, Translational Medicine Unit.
  • Andrade E; Central University of Ecuador, Faculty of Medical Sciences, Translational Medicine Unit.
  • Vásconez H; PROAUDIO, Comprehensive Hearing and Language Institute.
J Craniofac Surg ; 35(5): 1398-1401, 2024.
Article em En | MEDLINE | ID: mdl-38771204
ABSTRACT

OBJECTIVE:

This paper compares demographic, morphological, functional, and risk factors between isolated and familial forms of microtia in Ecuadorian mestizo patients.

METHODS:

The authors did an epidemiological, and retrospective study with 112 patients divided into isolated microtia (n = 91) and familial microtia (n = 21). Patients with syndromic microtia were not included.

RESULTS:

In isolated microtia, the mean age was 11.80 ± 16.9, and the most prevalent age group was from 5 to 9 years, with 45.0%; males were 58.2%, and 91.2% of patients were born in a city above 2500 meters about sea level. In familial microtia, the mean age was 15.57 ± 17.2. There were no statistically significant differences between the analyzed variables. In isolated microtia, 41.8% of patients had bilateral involvement, 40.7% had grade 1 microtia in the right ear (RE), and grade 1 in the left ear was 47.3%; external auditory canal atresia of RE was present in 62.6%, and in left ear in 31.6%. External auditory canal atresia sidedness was mostly unilateral in both groups. Most patients did not have tags or pits (78% and 81% in RE and 85.7% and 71.4%). Most patients had moderate hearing loss in both ears.

CONCLUSION:

The authors found an association between both microtia forms with external auditory canal atresia in RE; only 20% of patients had unilateral auricular tags or pits in both groups. The authors also found a high incidence (18.75%) of familial microtia, which suggests a distinct pathological genetic component than the more prevalent isolated cases. The authors found a high association of microtia cases from the Ecuadorian highlands above 2500 meters about sea level (over 90%). The presence of "social" intake of alcohol during pregnancy showed over twice the chance of having a child born with microtia.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Microtia Congênita Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Ecuador Idioma: En Revista: J Craniofac Surg Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Microtia Congênita Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: America do sul / Ecuador Idioma: En Revista: J Craniofac Surg Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos