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La microtia es una malformación que se visualiza en el nacimiento y que da lugar a una “oreja pequeña.” En promedio se produce en 1 de cada 5.000-7.000 nacimientos, con un máximo de 1 en 1.000 en las poblaciones nativas de América del Norte y del Sur, 1 en 2.100 en las comunidades japonesas y coreanas y 1 de cada 20.000 en poblaciones caucásicas.

En el 90% de los casos, sólo un oído se ve afectado, conocido como microtia unilateral. Si ambos oídos se ven afectados, se conoce como microtia bilateral y requiere una atención más inmediata.

Por lo general, el 65% de los casos se presentan en niños, sólo el 35% en las niñas. Casi el doble de los casos microtia ocurren en la oreja derecha en comparación con la izquierda.

Los 4 grados de la Microtia

Grado 1: La oreja es pequeña pero tiene la mayoría de las características de una oreja normal. Generalmente, el conducto auditivo está abierto.

Grado 2: La oreja es pequeña y le faltan algunas partes. El conducto auditivo puede estar abierto o cerrado. La ausencia de conducto auditivo se llama atresia aural.

Grado 3: La forma más común. Sólo está presente un pequeño lóbulo de la oreja y suele estar en una posición diferente. Por lo general hay un poco de cartílago. Es  normal que estos niños tengan atresia aural (ausencia de conducto auditivo).

Grado 4: Ausencia total de la oreja, también conocido como anotia.

Artesia aural

Es la ausencia o subdesarrollo del conducto auditivo externo y de las estructuras del oído medio, y se da en el 65% de los casos de microtia.

El oído externo y medio se desarrollan en el feto al mismo tiempo a partir del mismo tejido embrionario, por lo tanto, cualquier defecto en uno suele ir acompañado de defectos en el otro.

Sin embargo, es importante señalar que en la gran mayoría de los casos, el oído interno no está afectado y es funcional. Esto significa que cuando es necesario, se puede mejorar la audición con la ayuda de dispositivos auditivos adecuados.

Nota: el oído interno es la parte que traduce  el sonido, es decir las las vibraciones del aire en señales de sonido que informan al cerebro.