Beyond the Ear: Uncovering Renal, Hepatic, and Gallbladder Abnormalities in Patients with Microtia
摘要
Microtia is a congenital anomaly of the external ear that may occur in isolation or as part of syndromic conditions involving multiple organ systems. Due to shared embryological origins between craniofacial and renal structures, studies have suggested a potential association with genitourinary anomalies. However, data from Latin American populations remain limited.
MethodsThis cross-sectional observational study included 146 Ecuadorian patients with microtia who underwent abdominal ultrasound screening in 2024. Patients were classified as having isolated or familial microtia. Renal morphology was assessed using standardized measurements, including kidney length, cortical thickness, and volume. Hepatic and gallbladder findings were also recorded. Data were analyzed using descriptive statistics and non-parametric tests.
ResultsAmong the 146 patients, 28 (19.8%) exhibited abnormal abdominal ultrasound findings. The most common anomalies were fatty liver (39.3%), renal pelvis ectasia (35.7%), and double collecting system (17.9%). Males represented 67.9% of affected individuals. The kidneys were the most frequently involved organ (46.4%), followed by the liver (32.1%) and gallbladder (14.3%). Comparative analysis showed no statistically significant differences in renal parameters across microtia subtypes. Although percentile-based classifications were applied, the lack of a control group limited interpretation of prevalence.
ConclusionsA substantial proportion of microtia patients presented with renal and hepatic abnormalities. While no significant renal morphological differences were found between microtia types, the findings support the need for abdominal screening in selected cases. Future studies with control groups and metabolic profiling are needed to clarify potential syndromic or developmental associations.