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B.C. girl to get new ear with help from SFU archeology team

Scans of Zillah Shulman含羞草研究社檚 left ear will be used to make a prosthetic
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Nelson含羞草研究社檚 Zillah Shulman is going to receive a 3D-printed prosthetic to cover her right ear, which is under developed due to microtia. L-R: Barak, Zillah, Odessa and Milenia Shulman. Photo: Tyler Harper

Ancient children含羞草研究社檚 bones are the typical subjects of scans at Hugo Cardoso含羞草研究社檚 lab. Five-year-old girls, who are very much alive, are not.

In October, the archeology department at Simon Fraser University welcomed Nelson含羞草研究社檚 Zillah Shulman who arrived with her mother Milenia. The visit came after Cardoso received a unique request from a California surgeon that the lab to take images of Shulman含羞草研究社檚 left ear with its high-end 3D scanner.

Zillah was born with the rare congenital condition microtia that prevents ears from fully developing in utero. She wears a hearing aid on the right side of her head where her fully developed ear should be. The scans at SFU would be used to create a new prosthetic ear for her to live with.

Cardoso, SFU含羞草研究社檚 chair of the archeology department, usually works with human remains. His team scans bones to create permanent digital copies that can be studied and preserved while the originals deteriorate. But Cardoso含羞草研究社檚 lab is the only facility in B.C. to own the type of scanner needed to build Zillah含羞草研究社檚 ear, and he was happy to help.

含羞草研究社淚 didn含羞草研究社檛 really think much about it. I had the equipment. I work at a public university, I see the work that I do as public service. The work that I do, and the research that I do, is paid by Canadian tax dollars. It was kind of obvious to me that why not?含羞草研究社

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Simon Fraser University research assistant Nicola Murray uses a hand-held scanner to take hundreds of images of Zillah Shulman含羞草研究社檚 left ear. The scans will be used to create a prosthetic that will be placed over Shulman含羞草研究社檚 right ear, which is underdeveloped due to microtia. Photo courtesy Simon Fraser University

Barak and Milenia Shulman have been working toward giving their daughter a new ear since she was one year old.

Zillah was born at BC Children含羞草研究社檚 Hospital in Vancouver with omphalocele, a condition that leads to infants being birthed with organs sticking out of their belly buttons. The family was prepared for this and knew in advance she would arrive with her liver partially outside the belly. What surprised them however was the tiny nub on the right side of Zillah含羞草研究社檚 head where her ear should have been.

Even though his daughter could live a healthy life without her right ear, Barak wants Zillah grow up without being bullied for her condition. He含羞草研究社檚 noticed she含羞草研究社檚 already thought of ways to defend herself if that happens.

含羞草研究社淎 child has so many things in regards to development and learning about social things that we didn含羞草研究社檛 want anything else to to make that more complex than it already is.含羞草研究社

In B.C. new ears for children with microtia are made using cartilage taken from ribs. The surgery, which was invented in 1958, is available at BC Children含羞草研究社檚 Hospital and covered by the Medical Services Plan for children 15 and younger.

But surgeons won含羞草研究社檛 perform on children until they are about 10 years old, and the Shulmans don含羞草研究社檛 want Zillah to wait another five years for the procedure.

The family opted instead for a surgery that isn含羞草研究社檛 available in Canada. Dr. Sheryl Lewin, a plastic surgeon in California, uses 3D scans of patient含羞草研究社檚 ears to create a nearly identical replacement for the side that is underdeveloped.

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The scanner at SFU含羞草研究社檚 archeology department is the only one of its type in B.C. These images are some of the hundreds taken of Zillah Shulman含羞草研究社檚 left ear. Photo courtesy Simon Fraser University

The procedure is expensive 含羞草研究社 the Shulmans say it and related travel expenses will cost approximately $100,000 含羞草研究社 but doesn含羞草研究社檛 require any cartilage taken from Zillah含羞草研究社檚 ribs. It won含羞草研究社檛 fix her hearing, but the ear is made bigger than it should be at Zillah含羞草研究社檚 age so she can grow into it and won含羞草研究社檛 need any replacements.

But first Lewin needed scans of Zillah含羞草研究社檚 ear. That led to a call with Cardoso, who uses the same handheld Artec Space Spider scanner that Lewin has.

When Zillah visited SFU含羞草研究社檚 Juvenile Osteology Group lab on Oct. 16, she sat in Milenia含羞草研究社檚 lap while research assistant Nicola Murray scanned hundreds of images of her left ear to send to Lewin. The process took a little over an hour.

含羞草研究社淣icola was very I think touched and felt really good to be involved in a project that has nothing to do with the work that she含羞草研究社檚 been doing with me, but that has a real visible and tangible and immediate impact on people含羞草研究社檚 lives,含羞草研究社 said Cardoso.

Now that the scans are complete, the Shulmans will next travel to Torrence, Calif., for the surgery on Jan. 10. Afterward the family will stay near Lewin含羞草研究社檚 clinic for a month of post-op appointments.

Barak and Milenia are looking forward to Zillah being able to do little things people take for granted, like wearing sunglasses. They also think her confidence will improve, and a weight will be lifted off the family.

含羞草研究社淚t含羞草研究社檚 this massive hurdle that we含羞草研究社檝e been watching on the horizon for years and years and years,含羞草研究社 said Barak. 含羞草研究社淎nd now it含羞草研究社檚 around the corner and we含羞草研究社檙e about to take it and then put it behind us.含羞草研究社

They含羞草研究社檒l also follow through on a promise made to Zillah for something she asked for but wasn含羞草研究社檛 possible without the surgery.

She含羞草研究社檒l get her first set of earrings.

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Tyler Harper

About the Author: Tyler Harper

I含羞草研究社檓 editor-reporter at the Nelson Star, where I含羞草研究社檝e worked since 2015.
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