{"id":1778,"date":"2023-07-31T15:24:56","date_gmt":"2023-07-31T13:24:56","guid":{"rendered":"https:\/\/j9uj9qtwxvbg0jzr2745.cleaver.live\/timescale-and-diagnosis\/"},"modified":"2023-11-14T18:54:18","modified_gmt":"2023-11-14T17:54:18","slug":"timescale-and-diagnosis","status":"publish","type":"page","link":"https:\/\/www.microtia-germany.com\/en\/timescale-and-diagnosis\/","title":{"rendered":"Timescale and Diagnosis"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; module_class=&#8221;anchornav-main&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_post_title meta=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;|700|||||||&#8221; title_text_color=&#8221;#204B2A&#8221; title_font_size=&#8221;40px&#8221; custom_margin=&#8221;0px||60px||false|false&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; title_font_size_tablet=&#8221;40px&#8221; title_font_size_phone=&#8221;32px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_post_title][et_pb_text _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#777777&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]The treatment of microtia and atresia is divided into three stages: early hearing rehabilitation, definitive hearing rehabilitation and the plastic reconstructive surgery of the ear.<br \/>\nHearing rehabilitation is at the forefront and should occur in every case because speech and general development depend on the ability to hear.[\/et_pb_text][et_pb_code _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|60px|0px|false|false&#8221; custom_margin_tablet=&#8221;||32px||false|false&#8221; custom_margin_phone=&#8221;0px||16px||false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_code][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_sidebar area=&#8221;et_pb_widget_area_11&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; sticky_position=&#8221;top&#8221; sticky_offset_top=&#8221;40px&#8221; sticky_limit_bottom=&#8221;section&#8221; motion_trigger_start=&#8221;top&#8221; hover_enabled=&#8221;0&#8243; sticky_position_tablet=&#8221;none&#8221; sticky_position_phone=&#8221;none&#8221; sticky_position_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text module_id=&#8221;01&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h2>Early Hearing Rehabilitation<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_image src=&#8221;http:\/\/www.microtia-germany.com\/wp-content\/uploads\/2015\/07\/Zeitplan-Dignostik-Fruehe-Hoerrehabilitation.jpg&#8221; title_text=&#8221;Zeitplan-Dignostik-Fruehe-Hoerrehabilitation&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#777777&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>The function of the middle and inner ear of children with microtia or atresia must be tested within the first weeks of life by a specialist practice or department in the hospital. This area is called \u201cpaediatric audiology\u201d. In the first four years of life children wear a bone conduction hearing device on a headband. These hearing devices pick up sound and convey it via the skull to the inner ear.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text module_id=&#8221;02&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#777777&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h2>Definitive hearing rehabilitation<\/h2>\n<p>From the second year of life definitive hearing rehabilitation is possible. The ideal time for treatment depends on the severity of the malformation and the chosen method. Reconstructive surgery on the ear canal and middle ear is possible in selected cases. Furthermore, a range of hearing technology is available. This includes bone conduction hearing aids and implants. [\/et_pb_text][et_pb_button button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6Ijc4OCJ9fQ==@&#8221; button_text=&#8221;more&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.21.0&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_bg_color=&#8221;RGBA(255,255,255,0)&#8221; button_font=&#8221;|700|||||||&#8221; button_icon=&#8221;&#xe046;||divi||400&#8243; button_on_hover=&#8221;off&#8221; custom_margin=&#8221;20px|0px|0px|0px|false|false&#8221; custom_margin_tablet=&#8221;|28px|40px|28px|false|false&#8221; custom_margin_phone=&#8221;|28px|40px|28px|false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][et_pb_code _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|60px|0px|false|false&#8221; custom_margin_tablet=&#8221;||32px||false|false&#8221; custom_margin_phone=&#8221;0px||16px||false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_code][et_pb_text module_id=&#8221;03&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#777777&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h2>Imaging Methods<\/h2>\n<p>There are different methods of examination which involve making images of organs or bones. Computer tomography (CT) in radiology is an example of this. Naturally a radiological examination should only be performed if it is necessary for the treatment. We do not recommend a routine radiological examination straight after birth. A CT scan is necessary before an implant operation, for example. Magnet resonance imaging (MRI), on the other hand, is only used in special cases. [\/et_pb_text][et_pb_text module_id=&#8221;04&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#777777&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h2>Ear Reconstruction<\/h2>\n<p>Many affected persons experience the absence of the auricle as very stressful for their self-esteem and their relationships with other people. But there are just as many affected people who do not experience such a malformation as a restriction and do not want a pinna reconstruction. The decision for or against treatment must be made personally by each patient or family. It is very important to us to discuss these aspects in detail with you in advance.<br \/>\nIf you personally decide to have a plastic auricle reconstruction, there are three different methods to perform it: The auricle can be reconstructed with a individual custom-made 3D polyethylene implant or from autologous rib cartilage. Furthermore, artificial auricles, so-called prosthesis, made of silicone are available. These replicate the ear as a whole and are worn on the head by means of magnets.<br \/>\nAll three methods have their advantages and disadvantages. We will advise you in detail about them during your consultation.[\/et_pb_text][et_pb_button button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6Ijc5MCJ9fQ==@&#8221; button_text=&#8221;more&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.21.0&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_bg_color=&#8221;RGBA(255,255,255,0)&#8221; button_font=&#8221;|700|||||||&#8221; button_icon=&#8221;&#xe046;||divi||400&#8243; button_on_hover=&#8221;off&#8221; custom_margin=&#8221;20px|0px|0px|0px|false|false&#8221; custom_margin_tablet=&#8221;|28px|40px|28px|false|false&#8221; custom_margin_phone=&#8221;|28px|40px|28px|false|false&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][et_pb_code _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px|0px|60px|0px|false|false&#8221; custom_margin_tablet=&#8221;||32px||false|false&#8221; custom_margin_phone=&#8221;0px||16px||false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_code][et_pb_text module_id=&#8221;05&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#777777&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h2>Syndromes &amp; Further Diagnosis<\/h2>\n<p>Microtia and atresia can occur separately or as part of a syndrome. A syndrome is described as different symptoms occurring simultaneously. Known syndromes with ear malformations include Goldenhar syndrome (oculo-auriculo-vertebral dysplasia) and Treacher Collins syndrome (also known as Franceschetti syndrome). In these cases genetic counselling is useful. At the same time the internal organs should be checked for defects in a preliminary paediatric examination. Because these must be treated first in any event.<br \/>\nThe eyes, jaw and spine are also probably affected and require examination and treatment as appropriate by a specialist ophthalmologist, oral and maxillofacial surgeon or a paediatric orthopaedic surgeon.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; theme_builder_area=&#8221;post_content&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_row column_structure=&#8221;1_3,2_3&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; module_class=&#8221;cnvy-teaser-page cnvy-teaser-about&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#204B2A&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_image src=&#8221;https:\/\/www.microtia-germany.com\/wp-content\/uploads\/2023\/09\/teaser-beratung.jpg&#8221; title_text=&#8221;teaser-beratung&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; background_enable_image=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;|5%||5%|false|true&#8221; custom_padding_tablet=&#8221;|0%||0%|false|true&#8221; custom_padding_phone=&#8221;|0%||0%|false|true&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#EBF9D8&#8243; text_line_height=&#8221;1.5em&#8221; header_text_color=&#8221;#EBF9D8&#8243; header_2_text_color=&#8221;#EBF9D8&#8243; header_2_font_size=&#8221;40px&#8221; header_3_text_color=&#8221;#EBF9D8&#8243; header_4_text_color=&#8221;#EBF9D8&#8243; header_5_text_color=&#8221;#EBF9D8&#8243; header_6_text_color=&#8221;#EBF9D8&#8243; background_color=&#8221;RGBA(255,255,255,0)&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;40px&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h2><strong>Consultation request <\/strong><\/h2>\n<p>Patients can book appointments for consultation both by phone and online. For optimal preparation, information such as photos of the ears, hearing tests, doctor&#8217;s letters and, if necessary, CT scans of the temporal bone are required in advance.[\/et_pb_text][et_pb_button button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE4NjcifX0=@&#8221; button_text=&#8221;more information&#8221; button_alignment=&#8221;left&#8221; _builder_version=&#8221;4.21.0&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_color=&#8221;#95C221&#8243; button_bg_color=&#8221;RGBA(255,255,255,0)&#8221; button_font=&#8221;|700|||||||&#8221; button_icon=&#8221;&#xe046;||divi||400&#8243; button_on_hover=&#8221;off&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The treatment of microtia and atresia is divided into three stages: early hearing rehabilitation, definitive hearing rehabilitation and the plastic reconstructive surgery of the ear. Hearing rehabilitation is at the forefront and should occur in every case because speech and general development depend on the ability to hear.Early Hearing RehabilitationThe function of the middle and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1623,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1778","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Timescale and Diagnosis - Microtia Germany | Dr. Henning Frenzel<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.microtia-germany.com\/en\/timescale-and-diagnosis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Timescale and Diagnosis - Microtia Germany | Dr. Henning Frenzel\" \/>\n<meta property=\"og:description\" content=\"The treatment of microtia and atresia is divided into three stages: early hearing rehabilitation, definitive hearing rehabilitation and the plastic reconstructive surgery of the ear. 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