Maternal risk factors for severe microtia/atresia in China: A case-control study

Publication date: Available online 3 October 2018

Source: International Journal of Pediatric Otorhinolaryngology

Author(s): Qiang Liu, Xinmiao Fan, Shuang Liu, Li Wang, Yulin Jiang, Xiaowei Chen

Abstract

Objective

Microtia/atresia is a severe malformation of the external ear. Previous studies have reported the potential risk factors on microtia, whereas few focused on severe microtia/atresia. The aim of the study was to investigate the effects of maternal exposure to environmental risk factors in patients with severe microtia/atresia in China.

Methods

A case-control study was conducted. Cases were patients with severe microtia/atresia who presented to PUMCH between January 2014 and October 2017. A total of 322 patients with severe microtia/atresia were enrolled and 322 normal controls matched 1:1 with the patients by sex, age and nationality were enrolled. The designed questionnaires were completed and data were gathered. Odds ratios were estimated with logistic regression models along with 95% confidence intervals in severe microtia/atresia.

Results

Most cases were males(68.6%), and the cases were observed more common in unilateral(80.7%), right-sided (54.0%). Multivariate logistic regression analysis showed that threatened abortion (OR 4.066,95% CI = 2.360–7.007), NSAIDs (OR 2.576,95% CI = 1.079–6.148), virus infection (OR 1.933,95% CI = 1.148–3.256), anemia (OR 1.902,95% CI = 1.026–3.526), miscarriages (OR 1.804,95% CI = 1.425–2.285), maternal age (OR 1.079,95% CI = 1.015–1.148) and paternal age (OR 1.061,95% CI = 1.003–1.122) were associated with a higher risk of severe microtia/atresia.

Conclusion

These results support that some maternal risk factors could be associated with severe microtia/atresia.

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