7 year old male with hemifacial microsomia and microtia with small canal, no tympanic membrane, and fused ear bones. r there any surgeries to help?

Since you're in Reno: You may wish to get parental written permission to send photos & mri's to dr. Colleen morris, geneticist at unsom-lv (cmorris@medicine.Nevada.Edu) & refer to the craniofacial clinic, as it was called when i worked there for > 20 years, now cleft palate clinic at unr: http://www.Medicine.Nevada.Edu/cpclinic/, karen braun administrative assistant 775-682-7022 kbraun@medicine.Nevada.Edu.

Hemifacial: Yes, many surgeries to help microsomia. Jaw reconstruction with osteotomies and grafting or distraction osteogenesis for improved oral function--far more so than cosmesis. The 7 year old should be evaluated by a craniofacial team with a board certified maxillofacial surgeon, pediatric oms, and orthodontist. The microtia is cosmetic. Fused ear ossicles might require cochlear implants.

Microtia: The patient should be evaluated by a geneticist, oms, otologist and facial plastic surgeon. Distraction osteogenesis can be done now for the hemifacial microsomia; microtia repair can be done after the age of 6-7, aids itself esteem ( it is not "cosmetic") and should be done before repair of the aural atresia and hearing restoration (if patient is a candidate).

Yes: Hearing improvement options include canalplasty/tympanoplasty/ossicular chain reconstruction vs a variety of conventional or implantable bone conduction hearing devices. Expectant management may be ok in child with unilateral hearing loss but normal intellect, speech/language develorment, doing well academically and socially.