The article examines modern approaches to developing criteria for determining the management strategy of children with ear anomalies. Congenital malformations of the external and middle ear hold a special place among sensory organ pathologies, as they affect not only auditory function but also the psycho-emotional and social development of a child. The aim of this study is to systematize the key factors influencing the choice of management tactics, including the severity of the defect, the presence of concomitant hearing impairment, the child’s age, and psychophysical development. Particular emphasis is placed on the interdisciplinary approach involving otorhinolaryngologists, audiologists, plastic surgeons, speech therapists, and psychologists. The necessity of individualized therapeutic and rehabilitative interventions is substantiated, including both conservative and surgical methods, as well as early hearing correction to ensure successful integration of the child into educational and social environments. The proposed criteria may serve as a basis for standardizing management strategies and improving treatment outcomes in children with congenital ear anomalies.

Еar anomalies, children, management strategy, hearing impairment, rehabilitation, surgical treatment, selection criteria, interdisciplinary approach.

Kryukov A.I., Sapova E.A., Polyakova T.S. Congenital ear anomalies in children: diagnostics, treatment, rehabilitation. Moscow: GEOTAR-Media, 2019.

Jahrsdoerfer R.A. Congenital Atresia of the Ear. Laryngoscope. 2018; Vol. 128(2); pp. 295–302.

Lambert P.R., Brackmann D.E., Gidley P.W., Pillsbury H.C. Otologic Surgery. Philadelphia: Elsevier, 2019.

Tanzer R.C., Brent B. Congenital Microtia. Reconstruction of the Auricle. Clinics in Plastic Surgery. 2020; Vol. 47(2). — P. 157–169.

Lopotko A.I., Nikolaev V.N. Modern approaches to hearing aid fitting in children with congenital ear anomalies. Bulletin of Otolaryngology. — 2021. — No. 3. — P. 25–31.

Frenzel H., Sprinzl G., Widmann G. Bone Anchored Hearing Aids in Children with Congenital Ear Malformations. International Journal of Pediatric Otorhinolaryngology. — 2019. — Vol. 124. — P. 28–34.

Brent B. Auricular Repair with Autogenous Rib Cartilage Grafts: Two Decades of Experience with 600 Cases. Plastic and Reconstructive Surgery. — 2018. — Vol. 141(4). — P. 831–845.

Vorobyova N.N., Kiseleva T.N., Guseva E.S. Interdisciplinary approach to the treatment of children with micro- and anotia. Russian Otolaryngology. — 2020. — No. 6. — P. 47–54.

Wang Y., Zhang T., Chen Y. Advances in Auricular Reconstruction for Microtia. Journal of Otology. — 2021. — Vol. 16(1). — P. 20–29.

Ohlms L.A., Chen D.A. Psychosocial Aspects of Congenital Ear Deformities in Children. Journal of Pediatric Psychology. — 2019. — Vol. 44(5). — P. 512–520.