Analysis of efficacy after treatment and influencing factors of congenital auricle deformation
10.3969/j.issn.1006-7299.2025.02.011
- VernacularTitle:先天性耳廓形态畸形无创矫治疗效及影响因素分析
- Author:
Xinyang ZHOU
1
;
Hong YU
1
Author Information
1. 吉林大学第一医院耳鼻咽喉头颈外科(长春 130021)
- Publication Type:Journal Article
- Keywords:
Congenital;
Auricle deformation;
Noninvasive correction;
Rebound;
Risk factors
- From:
Journal of Audiology and Speech Pathology
2025;33(2):150-155
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy rebound of congenital auricle deformation after noninvasive cor-rection of EarWell and study the environmental factors that may affect the occurrence of the disease.Methods ① A total of 86 children diagnosed with congenital auricle deformation in the First Hospital of Jilin University were se-lected as the treatment group(treated with EarWell),and the rebound after treatment was compared among differ-ent age groups(group A:3-7 days,31 ears,group B:8-42 days,59 ears,group C:＞42 days,33ears).② 77 chil-dren with normal auricle with similar age were selected as the control group,and the relevant information of the two groups of children was collected by questionnaire survey to analyze the risk factors that may affect the occurrence of the disease.Results ① A total of 13.0％of deformed ears developed rebound,with about 81.3％occurring within three months after the end of treatment.The rebound rate of group C was higher than those of groups A and B(P＜0.001),and there was no significant difference between groups A and B(P＞0.05).② Compared with the con-trol group,the parents in the treatment group were older at birth,the incidence of smoking of the father,abortion of the mother,hypertension and anemia of pregnancy was higher,and the incidence of folic acid supplementation and cesarean section of the mother was lower(P＜0.05).Multivariate logistic regression model analysis showed that paternal age(OR=1.58,P=0.003),hypertension during pregnancy(OR=4.39,P=0.004),and anemia during pregnancy(OR=3.72,P=0.005)were independent risk factors for congenital auricle deformation.Folic acid sup-plementation for mothers(OR=0.44,P=0.049)and cesarean section(OR=0.35,P=0.008)were the protective factors.Conclusion The rebound of congenital auricular deformation after non-invasive correction mostly occurred within three months after treatment,and the rebound rate of deformed ear with children of age greater than 42 days was higher.Moreover,its occurrence may be related to the age of the father,whether the mother regularly supple-ments folic acid,the mode of production,whether have hypertension or anemia during pregnancy.
