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Abnormality of the outer ear

MedGen UID:
335428
Concept ID:
C1846460
Anatomical Abnormality; Finding
Synonyms: Abnormal pinna; Abnormal pinnae; External ear abnormalities; External ear malformations; Malformed pinnae; Outer ear abnormalities
 
HPO: HP:0000356

Definition

An abnormality of the external ear. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAbnormality of the outer ear

Conditions with this feature

Wildervanck syndrome
MedGen UID:
120518
Concept ID:
C0265239
Disease or Syndrome
Wildervanck syndrome is characterized by the triad of cervical vertebral fusion (Klippel-Feil anomaly, see this term), bilateral abducens palsy with retracted eyes (Duane syndrome, see this term) and congenital perceptive deafness.
Smith-Magenis syndrome
MedGen UID:
162881
Concept ID:
C0795864
Disease or Syndrome
Smith-Magenis syndrome (SMS) is characterized by distinctive physical features (particularly coarse facial features that progress with age), developmental delay, cognitive impairment, behavioral abnormalities, sleep disturbance, and childhood-onset abdominal obesity. Infants have feeding difficulties, failure to thrive, hypotonia, hyporeflexia, prolonged napping or need to be awakened for feeds, and generalized lethargy. The majority of individuals function in the mild-to-moderate range of intellectual disability. The behavioral phenotype, including significant sleep disturbance, stereotypies, and maladaptive and self-injurious behaviors, is generally not recognized until age 18 months or older and continues to change until adulthood. Sensory issues are frequently noted; these may include avoidant behavior, as well as repetitive seeking of textures, sounds, and experiences. Toileting difficulties are common. Significant anxiety is common as are problems with executive functioning, including inattention, distractibility, hyperactivity, and impulsivity. Maladaptive behaviors include frequent outbursts / temper tantrums, attention-seeking behaviors, opposition, aggression, and self-injurious behaviors including self-hitting, self-biting, skin picking, inserting foreign objects into body orifices (polyembolokoilamania), and yanking fingernails and/or toenails (onychotillomania). Among the stereotypic behaviors described, the spasmodic upper-body squeeze or "self-hug" seems to be highly associated with SMS. An underlying developmental asynchrony, specifically emotional maturity delayed beyond intellectual functioning, may also contribute to maladaptive behaviors in people with SMS.
Cryptotia, familial
MedGen UID:
342243
Concept ID:
C1852455
Disease or Syndrome
Intellectual disability-microcephaly-strabismus-behavioral abnormalities syndrome
MedGen UID:
897984
Concept ID:
C4225351
Disease or Syndrome
White-Sutton syndrome is a neurodevelopmental disorder characterized by a wide spectrum of cognitive dysfunction, developmental delays (particularly in speech and language acquisition), hypotonia, autism spectrum disorder, and other behavioral problems. Additional features commonly reported include seizures, refractive errors and strabismus, hearing loss, sleep disturbance (particularly sleep apnea), feeding and gastrointestinal problems, mild genital abnormalities in males, and urinary tract involvement in both males and females.
Congenital heart defects, dysmorphic facial features, and intellectual developmental disorder
MedGen UID:
1385307
Concept ID:
C4479246
Disease or Syndrome
CDK13-related disorder, reported in 43 individuals to date, is characterized in all individuals by developmental delay / intellectual disability (DD/ID); nearly all individuals older than age one year display impaired verbal language skills (either absent or restricted speech). Other common findings are recognizable facial features in some individuals, behavioral problems (autism spectrum disorder or autistic traits/stereotypies, attention-deficit/hyperactivity disorder), feeding difficulties in infancy, structural cardiac defects, and seizures.
Genitourinary and/or brain malformation syndrome
MedGen UID:
1720440
Concept ID:
C5394158
Disease or Syndrome
Individuals with PPP1R12A-related urogenital and/or brain malformation syndrome (UBMS) usually present with multiple congenital anomalies, commonly including brain and/or urogenital malformations. The brain abnormalities are variable, with the most severe belonging to the holoprosencephaly spectrum and associated with moderate-to-profound intellectual disability, seizures, and feeding difficulties. In individuals without brain involvement, variable degrees of developmental delay and/or intellectual disability may be present, although normal intelligence has been seen in a minority of affected individuals. Eye abnormalities and skeletal issues (kyphoscoliosis, joint contractures) can also be present in individuals of either sex. Regardless of the presence of a brain malformation, affected individuals with a 46,XY chromosome complement may have a disorder of sex development (DSD) with gonadal abnormalities (dysgenetic gonads or streak gonads). Individuals with a 46,XX chromosome complement may have varying degrees of virilization (clitoral hypertrophy, posterior labial fusion, urogenital sinus).

Professional guidelines

PubMed

Rosenfeld RM, Tunkel DE, Schwartz SR, Anne S, Bishop CE, Chelius DC, Hackell J, Hunter LL, Keppel KL, Kim AH, Kim TW, Levine JM, Maksimoski MT, Moore DJ, Preciado DA, Raol NP, Vaughan WK, Walker EA, Monjur TM
Otolaryngol Head Neck Surg 2022 Feb;166(1_suppl):S1-S55. doi: 10.1177/01945998211065662. PMID: 35138954
Jones L, Downie LE, Korb D, Benitez-Del-Castillo JM, Dana R, Deng SX, Dong PN, Geerling G, Hida RY, Liu Y, Seo KY, Tauber J, Wakamatsu TH, Xu J, Wolffsohn JS, Craig JP
Ocul Surf 2017 Jul;15(3):575-628. Epub 2017 Jul 20 doi: 10.1016/j.jtos.2017.05.006. PMID: 28736343
Tunkel DE, Bauer CA, Sun GH, Rosenfeld RM, Chandrasekhar SS, Cunningham ER Jr, Archer SM, Blakley BW, Carter JM, Granieri EC, Henry JA, Hollingsworth D, Khan FA, Mitchell S, Monfared A, Newman CW, Omole FS, Phillips CD, Robinson SK, Taw MB, Tyler RS, Waguespack R, Whamond EJ
Otolaryngol Head Neck Surg 2014 Oct;151(2 Suppl):S1-S40. doi: 10.1177/0194599814545325. PMID: 25273878

Recent clinical studies

Etiology

Zhang X, Zheng W, Feng Y, Yu N, Qin J, Li K, Yan G, Zou Y, Li B
Eur Radiol 2023 Nov;33(11):7707-7715. Epub 2023 Jun 14 doi: 10.1007/s00330-023-09816-5. PMID: 37311804Free PMC Article
Kozusko SD, Konofaos P, Wallace RD
Ann Plast Surg 2020 Jul;85(1):89-92. doi: 10.1097/SAP.0000000000002213. PMID: 31913888
Fritsch MH
Facial Plast Surg 2004 Nov;20(4):267-70. doi: 10.1055/s-2005-865384. PMID: 15778913
Scheinfeld NS, Silverberg NB, Weinberg JM, Nozad V
Pediatr Dermatol 2004 May-Jun;21(3):191-6. doi: 10.1111/j.0736-8046.2004.21301.x. PMID: 15165194
Emery BE
Facial Plast Surg Clin North Am 2001 Feb;9(1):147-57. PMID: 11465001

Diagnosis

Morrison D, Kesser B
Otolaryngol Clin North Am 2023 Oct;56(5):933-948. Epub 2023 Aug 1 doi: 10.1016/j.otc.2023.06.007. PMID: 37537101
Tsuno NSG, Tsuno MY, Coelho Neto CAF, Noujaim SE, Decnop M, Pacheco FT, Souza SA, Fonseca APA, Garcia MRT
Radiographics 2022 Mar-Apr;42(2):522-540. Epub 2022 Feb 4 doi: 10.1148/rg.210148. PMID: 35119966
Bhatti SL, Daly LT, Mejia M, Perlyn C
Pediatr Rev 2021 Apr;42(4):180-188. doi: 10.1542/pir.2019-0167. PMID: 33795464
Cubitt JJ, Chang LY, Liang D, Vandervord J, Marucci DD
J Paediatr Child Health 2019 May;55(5):512-517. Epub 2019 Mar 28 doi: 10.1111/jpc.14444. PMID: 30920067
Sands NB, Adamson PA
Facial Plast Surg Clin North Am 2014 Nov;22(4):611-21. Epub 2014 Nov 8 doi: 10.1016/j.fsc.2014.07.008. PMID: 25444732

Therapy

Assis MS, Miranda LS
BMC Surg 2022 May 14;22(1):182. doi: 10.1186/s12893-022-01587-y. PMID: 35568829Free PMC Article
Kang NV, Sabbagh W, O'Toole G, Silberberg M
Laryngoscope 2018 Oct;128(10):2282-2290. Epub 2018 Apr 15 doi: 10.1002/lary.27197. PMID: 29658102Free PMC Article
Jones L, Downie LE, Korb D, Benitez-Del-Castillo JM, Dana R, Deng SX, Dong PN, Geerling G, Hida RY, Liu Y, Seo KY, Tauber J, Wakamatsu TH, Xu J, Wolffsohn JS, Craig JP
Ocul Surf 2017 Jul;15(3):575-628. Epub 2017 Jul 20 doi: 10.1016/j.jtos.2017.05.006. PMID: 28736343
Schilder AG, Chonmaitree T, Cripps AW, Rosenfeld RM, Casselbrant ML, Haggard MP, Venekamp RP
Nat Rev Dis Primers 2016 Sep 8;2(1):16063. doi: 10.1038/nrdp.2016.63. PMID: 27604644Free PMC Article
Blake KD, Prasad C
Orphanet J Rare Dis 2006 Sep 7;1:34. doi: 10.1186/1750-1172-1-34. PMID: 16959034Free PMC Article

Prognosis

Zhang H, Han Z, Li Y, Lin J, Zou Y
Acta Otolaryngol 2023 Nov;143(sup1):S45-S48. Epub 2024 Feb 13 doi: 10.1080/00016489.2023.2281504. PMID: 38113167
Hartzell LD, Chinnadurai S
Clin Perinatol 2018 Dec;45(4):679-697. Epub 2018 Sep 18 doi: 10.1016/j.clp.2018.07.007. PMID: 30396412
Federspil PA
Facial Plast Surg Clin North Am 2018 Feb;26(1):97-104. doi: 10.1016/j.fsc.2017.09.007. PMID: 29153193
Fritsch MH
Facial Plast Surg 2004 Nov;20(4):267-70. doi: 10.1055/s-2005-865384. PMID: 15778913
Rodríguez Soriano J
J Nephrol 2003 Jul-Aug;16(4):603-5. PMID: 14696767

Clinical prediction guides

Zhang H, Han Z, Li Y, Lin J, Zou Y
Acta Otolaryngol 2023 Nov;143(sup1):S45-S48. Epub 2024 Feb 13 doi: 10.1080/00016489.2023.2281504. PMID: 38113167
Vilela Chagas Ferreira M, Goldenberg DC, Kharmandayan V, Gemperli R
Laryngoscope 2020 May;130(5):1322-1326. Epub 2019 Jul 29 doi: 10.1002/lary.28209. PMID: 31355963
Federspil PA
Facial Plast Surg Clin North Am 2018 Feb;26(1):97-104. doi: 10.1016/j.fsc.2017.09.007. PMID: 29153193
van Nunen DP, Kolodzynski MN, van den Boogaard MJ, Kon M, Breugem CC
Int J Pediatr Otorhinolaryngol 2014 Jun;78(6):954-9. Epub 2014 Mar 30 doi: 10.1016/j.ijporl.2014.03.024. PMID: 24745583
Fritsch MH
Facial Plast Surg 2004 Nov;20(4):267-70. doi: 10.1055/s-2005-865384. PMID: 15778913

Recent systematic reviews

Stoustrup P, Resnick CM, Abramowicz S, Pedersen TK, Michelotti A, Küseler A, Koos B, Verna C, Nordal EB, Granquist EJ, Halbig JM, Kristensen KD, Kaban LB, Arvidsson LZ, Spiegel L, Stoll ML, Lerman MA, Glerup M, Defabianis P, Frid P, Alstergren P, Cron RQ, Ringold S, Nørholt SE, Peltomaki T, Larheim TA, Herlin T, Peacock ZS, Kellenberger CJ, Twilt M; Temporomandibular Joint Juvenile Arthritis Working Group
Arthritis Rheumatol 2023 Jan;75(1):4-14. Epub 2022 Nov 25 doi: 10.1002/art.42338. PMID: 36041065Free PMC Article
Grohmann M, Weiland T, Tuca AC, Wimbauer JM
Facial Plast Surg Aesthet Med 2023 Mar-Apr;25(2):83-89. Epub 2022 Feb 9 doi: 10.1089/fpsam.2021.0269. PMID: 35138923
Jeong SS, Shih MC, Rizk HG, Lambert PR
Otol Neurotol 2022 Aug 1;43(7):742-752. doi: 10.1097/MAO.0000000000003597. PMID: 35878629
Rooijers W, Tio PAE, van der Schroeff MP, Padwa BL, Dunaway DJ, Forrest CR, Koudstaal MJ, Caron CJJM
Int J Oral Maxillofac Surg 2022 Oct;51(10):1296-1304. Epub 2022 Feb 3 doi: 10.1016/j.ijom.2022.01.005. PMID: 35125269
Bruijnzeel H, van den Aardweg MT, Grolman W, Stegeman I, van der Veen EL
Laryngoscope 2016 Jul;126(7):1535-44. Epub 2016 Jan 4 doi: 10.1002/lary.25829. PMID: 27320109

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