Zambudio G, Guirao M J, Sánchez J M, Girón O, Ruiz J I, Gutiérrez M A
Servicio de Cirugía Pediátrica, Hospital Universitario Virgen de la Arrixaca, Murcia.
Cir Pediatr. 2007 Jul;20(3):139-42.
The utility of the nonsurgical correction of congenital auricular deformities by ear molding and splinting has been previously established. Occasionally, its application cannot be easy, and the later collaboration of the parents is necessary. We report a new method of splinting that simplifies the procedure.
prospective, case series.
Twenty ears in 15 patients between 7 and 60 days of age (average 22 days) were treated. They were 12 prominent ears, 4 Stahl's ears, 2 lop ears, 1 Crinkled ear, and 1 case of increase of antihelix folder. Cotton impregnated with 2-Octyl-Cyanoacrylate is placed as splint for 6 weeks.
The bilateral application lasted less than 5 minutes, end there were no spills to the external auditory canal. The splint was given off to the 2 weeks, and a second procedure was necessary in all the cases. There were no dermatitis or skin ulcers. The treatment was successful in 11 cases, partial improvement in 3, poor correction in 4, and recurrence in 2.
The splint therapy is an easy nonsurgical method for the treatment of congenital auricular deformities that applied during the first weeks of life provides good aesthetic results in more than 50% of the patients.
通过耳部塑形和夹板固定非手术矫正先天性耳廓畸形的效用此前已得到证实。偶尔,其应用并非易事,且家长后期的配合是必要的。我们报告一种简化该操作的新型夹板固定方法。
前瞻性病例系列研究。
对15例年龄在7至60天(平均22天)的患者的20只耳朵进行治疗。其中有12只招风耳、4只斯塔尔氏耳、2只垂耳、1只皱耳以及1例对耳轮皱襞增大病例。用浸有2 - 氰基丙烯酸辛酯的棉花作为夹板固定6周。
双侧操作耗时不到5分钟,且无材料溢入外耳道。夹板在2周时脱落,所有病例均需进行第二次操作。未出现皮炎或皮肤溃疡。治疗成功11例,部分改善3例,矫正效果差4例,复发2例。
夹板疗法是一种治疗先天性耳廓畸形的简便非手术方法,在出生后第一周内应用,超过50%的患者可获得良好的美学效果。