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| Clinical Efficacy of Auricle Orthosis in Treatment of Congenital Auricle Deformity |
| XIE Lihua, ZHAO Sijun, WANG Min, et al |
| Department of Otolaryngology,Head and Neck Surgery Hunan Children's Hospital,Changsha Hunan 410007 |
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Abstract 【Objective】To explore the effect of noninvasive ear model on infants with congenital auricle malformation of different ages by comparing the auricle morphology data before and after treatment.【Methods】A total of 86 healthy children aged from 2 weeks to 24 weeks who only suffered from unilateral congenital auricle morphological malformation (the malformations showed helix malformation, hidden ear and cup ear) were treated with earwell auricle orthosis. After treatment, the changes of ear morphological data were compared and the curative effect was evaluated combined with various evaluation indexes. 【Results】All children were successfully treated without serious complications. After treatment, facial ear length, morphological ear width, facial ear width and morphological ear length were all longer than before treatment, and the vertical distance between cranial and ear was shorter than before treatment. The differences were statistically significant (P<0.05), However, there was no significant difference in auriculocranial Angle before and after treatment (P>0.05).There were statistically significant differences in treatment cycles, doctors' ratings of efficacy, VAS score of parents' satisfaction and the occurrence of adverse reactions in different age groups (P<0.05). 【Conclusion】The noninvasive ear mold treatment can effectively correct the congenital auricle deformity of infants. And the best effect of wearing ear mold appliance is within 6 weeks after birth.
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Received: 07 September 2023
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[1] 韩德民. 新生儿及婴幼儿听力筛查[M].北京:人民卫生出版社,2003:162165.
[2] 吴荣薇,潘博.耳郭畸形的非手术治疗研究进展[J].中国美容整形外科杂志,2012,23(12):757-759.
[3] 王素芳,邓哲,韩富根,等.2～6月龄婴幼儿先天性耳形态畸形无创矫正的效果观察[J].中华耳科学杂志,2019,17(4):527-531.
[4] 杨萍. 203例胎婴儿先天畸形临床分析[J].新医学,2002,33(12):732-733.
[5] 蒋海越,潘博,林琳.先天性小耳畸形的分型及治疗策略[J].中华耳科学杂志, 2013, 11(4): 476.
[6] LIMANDJAJA G C, BREUGEM C C, MINK VAN DER MOLEN A B, et al. Complications of otoplasty: a literature review[J].J Plast ReconstrAesthet Surg,2009,62(1):19-27.
[7] LEONARDI A,BIANCA C,BASILE E,et al. Neonatal molding in deformational auricolar anomalies[J].Eur Rev Med Pharmacol Sci,2012,16(11):1554-1558.
[8] VAN WIJK M P, BREUGEM C C, KON M. Non-surgical correction of congenital deformities of the auricle: a systematic review of the literature[J].J Plast ReconstrAesthet Surg,2009,62(6):727-736.
[9] 周智英,付勇,毕静,等. 耳矫正模型对小儿先天性耳郭畸形的近期应用研究[J].临床耳鼻咽喉头颈外科杂志,2017,31(12):949-952.
[10] 陈沛维,李洁, 赵守琴,等.新型耳矫治器对小儿先天性耳郭畸形 治疗效果分析[J].临床耳鼻咽喉头颈外科杂志, 2017,31(11):849-853.
[11] 陈思齐,倪宝良,陈姗,等.先天性耳郭形态畸形无创矫正疗效分析[J].中国妇幼保健,2023,38(7):1291-1295.
[12] TAPAN M,BULAM H,IGDE M,et al.A simple method of neonatal ear molding for treatment of stahl ear deformity[J].J Craniofac Surg,2015,26(8):e802-e803.
[13] 张俊,母晓松,陈柯帆,等.耳郭畸形矫正器无创矫正先天性耳郭形态畸形17例[J].中国医学文摘(耳鼻咽喉科学),2023,38(6):32-35.
[14] 金加欣,秦阳,钱茂华. Earwell 用于耳郭形态畸形无创矫形的疗效分析[J].中国耳鼻咽喉颅底外科杂志,2021,27(6):712-715.
[15] 田宏,宋建涛,赵海军,等.不同类型的耳郭畸形患儿无创矫正后的临床观察[J].贵州医药,2022,46(12):1896-1897. |
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2023, Vol. 40 
