Early non-surgical treatment of congenital auricular deformity
10.3760/cma.j.issn.1009-4598.2018.03.008
- VernacularTitle: 先天性耳廓畸形的早期非手术治疗
- Author:
Lin LIN
1
;
Haiyue JIANG
;
Qinghua YANG
;
Leren HE
;
Bo PAN
;
Xiaobo YU
;
Jiayu ZHOU
Author Information
1. Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Auricle, external ear;
Congenital deformity;
Atraumatic technique
- From:
Chinese Journal of Plastic Surgery
2018;34(3):197-201
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of auricle deformity corrector in non-surgical treatment of congenital auricular deformity.
Methods:The auricular deformity correctors were applied for non-surgical treatment of congenital auricular deformities. The patients were divided into three groups according to the treatment starting age (<1 month old, 1-3 months old, 3-6 months old), followed up for every month respectively after treatment. According to the improvement of auricle morphology, the treatment results were divided into four levels (e, g, f, p) and the effective rate (e+ g)% was calculated.
Results:From January 2014 to December 2016, there were 140 ears of congenital malformations in children aged less than 6 months who were treated and followed up. Among them, 33 ears had helical rim abnormalities, 29 with cup-shaped ears, 12 with prominent ears, 4 with Stahl′s ears, and 62 with cryptotia ears. The therapeutic efficacies (<1 month old, 1-3 months old, 3-6 months) of these ear malformations were: cryptotia ear (100%, 100%, 87.5%), helical rim abnormality (100%, 90.47%, 66.67 %), prominent ear (-, 100%, 50%), cup ear (100%, 78.57%, 53.33%), Stahl′s ear (-, 100%, 33.33%). Follow-up more than 6 months after treatment, up to a year and a half, no recurrence was found.
Conclusions:The auricular deformity corrector can be used as an effective approach for achieving natural outcomes and correcting cosmetic abnormalities. Rate of satisfaction is dependent on types of deformity, the neonatal age in which treatment started and also parents′ compliance to treatment methods and principals. The method is noninvasive, easy to wear and works well. Early proper treatment can avoid future operations and save social medical resources.
