ASTANA. KAZINFORM – The boy was born with bilateral microtia and ear canal atresia. When he was 3 years old, his parents purchased an intermediate device, which is worn on a bandage and put on at an early age so that the child does not lag behind in development until he grows up to the operation. Now a 5-year-old boy will be able to remove a temporary device, since the capital’s doctors performed an operation on him as part of the OSMS, Kazinform reports with reference to the press service of the city akimat.
Operations for implantation of the bone conduction apparatus began to be carried out within the framework of medical insurance in Kazakhstan this year. Previously, ENT surgeons at the Multidisciplinary City Children’s Hospital No. 2 also performed such operations, but implants were delivered to the hospital as part of humanitarian aid. The operation belongs to innovative methods of treatment and is considered a high-tech medical service.
“One of the categories of children that fall under such an operation are patients with microtia and atresia. These are two different diagnoses, but they almost always go together. Microtia is the absence or underdevelopment of the auricle. With atresia, the ear canal is either sharply narrowed or absent altogether – this is a congenital malformation. This is a sore subject for mothers who have children with such diagnoses,” said Arman Abilev, head of the ENT department of the Moscow State Children’s Clinical Hospital No. 2.
The operation is indicated for children with bilateral hearing loss, that is, when hearing is absent from both sides or the ear canal is sharply narrowed.
“Now, within the framework of the OSMS, we will perform such operations regularly. This operation is done from about 4 years and older. The essence of the operation is that thanks to the implant implanted in the skull, sound begins to be conducted through the bones. There is a vibration that is transmitted to the inner ear, and the child begins to hear,” added the ENT surgeon.
The child was previously operated on by an Indian doctor in one of the private clinics in Kazakhstan, where they tried to open his ear canal in a natural way. But in such cases, quite often there is a closure of the passage. In world practice, they are already moving away from such operations due to frequent relapses.
Now the patient is in the early postoperative period, he receives postoperative maintenance therapy. Soon the child will be discharged and will go home under the supervision of Atyrau otolaryngologists. In about a month, a speech processor will be attached to the implant. It will need to be changed every five years, but the implant itself will not require reinstallation.