Smith Wg, Toye Jw, Reid A, Smith Rw
Orillia Soldiers' Memorial Hospital, Orillia.
Paediatr Child Health. 2005 Jul;10(6):327-31. doi: 10.1093/pch/10.6.327.
To determine whether a simple, nonsurgical treatment for congenital ear abnormalities (lop-ear, Stahl's ear, protruding ear, cryptotia) improved the appearance of ear abnormalities in newborns at six weeks of age.
This is a descriptive case series. All newborns with identified abnormalities were referred by their family physician to one paediatrician (WGS) in a small level 2 perinatal centre. The ears were waxed and taped in a standard manner within 10 days of birth. Pictures were taken before taping and at the end of taping (one month). All patients and pictures were assessed by one plastic surgeon (JWT) at six weeks of age and scored using a standard scoring system. A telephone survey of the nontreatment group was conducted.
The total number of ears assessed was 90. Of this total, 69 ears were taped and fully evaluated in the study (77%). The refusal rate was 23%. In the treatment group, 59% had lop-ear, 19% had Stahl's ear, 17% had protruding ear and 3% had cryptotia. Overall correction (excellent/improved) for the treatment group was 90% (100% for lop-ear, 100% for Stahl's ear, 67% for protruding ear and 0% for cryptotia). In the nontreatment (refusal) group, 67% of the ears failed to correct spontaneously. No complications were recognized by the authors or parents by six weeks. The percentage of newborns in one year in the perinatal centre with recognized ear abnormalities was 6% (90 of 1600).
A simple, nonsurgical treatment in a Caucasian population appeared to be very effective in correcting congenital ear abnormalities with no complications and high patient/parent satisfaction.
确定一种针对先天性耳部畸形（垂耳、斯塔尔氏耳、招风耳、隐耳）的简单非手术治疗方法是否能改善新生儿六周大时耳部畸形的外观。
这是一个描述性病例系列。所有被确诊有畸形的新生儿由其家庭医生转介至一家小型二级围产期中心的一位儿科医生（WGS）处。在出生后10天内，按照标准方式对耳朵进行涂蜡和包扎。在包扎前及包扎结束时（一个月）拍照。所有患者和照片在六周大时由一位整形外科医生（JWT）进行评估，并使用标准评分系统打分。对未治疗组进行了电话调查。
评估的耳朵总数为90只。其中，69只耳朵在研究中进行了包扎并得到充分评估（77%）。拒绝率为23%。在治疗组中，59%为垂耳，19%为斯塔尔氏耳，17%为招风耳，3%为隐耳。治疗组的总体矫正率（优秀/改善）为90%（垂耳为100%，斯塔尔氏耳为100%，招风耳为67%，隐耳为0%）。在未治疗（拒绝）组中，67%的耳朵未能自发矫正。到六周时，作者或家长均未发现并发症。该围产期中心一年内被确诊有耳部畸形的新生儿比例为6%（1600例中有90例）。
在白种人群中，一种简单的非手术治疗方法似乎能非常有效地矫正先天性耳部畸形，且无并发症，患者/家长满意度高。
