Dallas, Texas From the Department of Plastic Surgery, University of Texas Southwestern Medical Center at Dallas; Children's Medical Center Dallas; and the Department of Pediatrics, Baylor University Medical Center.
Plast Reconstr Surg. 2010 Oct;126(4):1191-1200. doi: 10.1097/PRS.0b013e3181e617bb.
A review of a single physician's experience in managing over 831 infant ear deformities (488 patients) is presented.
The authors' methods of molding have advanced from the use of various tapes, glues, and stents, to a comprehensive yet simple system that shapes the antihelix, the triangular fossa, the helical rim, and the overly prominent conchal-mastoid angle (EarWell Infant Ear Correction System).
The types of deformities managed, and their relative occurrence, are as follows: (1) prominent/cup ear, 373 ears (45 percent); (2) lidding/lop ear, 224 ears (27 percent); (3) mixed ear deformities, 83 ears (10 percent) (all had associated conchal crus); (4) Stahl's ear, 66 ears (8 percent); (5) helical rim abnormalities, 58 ears (7 percent); (6) conchal crus, 25 ears (3 percent); and (7) cryptotia, two ears (0.2 percent). Bilateral deformities were present in 340 patients (70 percent), with unilateral deformities in 148 patients (30 percent). Fifty-eight infant ears (34 patients) were treated using the final version of the EarWell Infant Ear Correction System with a success rate exceeding 90 percent (good to excellent results). The system was found to be most successful when begun in the first week of the infant's life. When molding was initiated after 3 weeks from birth, only approximately half of the infants had a good response.
Congenital ear deformities are common and only approximately 30 percent self-correct. These deformities can be corrected by initiating appropriate molding in the first week of life. Neonatal molding reduces the need for surgical correction with results that often exceed what can be achieved with the surgical alternative.
本文回顾了一位医生在管理超过 831 例婴儿耳部畸形（488 例患者）方面的经验。
作者的塑形方法已经从使用各种胶带、胶水和支架发展为一种综合但简单的系统，可以塑造对耳轮、三角窝、耳轮缘和过于突出的耳甲-乳突角（EarWell 婴儿耳朵矫正系统）。
所管理的畸形类型及其相对发生率如下：（1）突出/杯状耳，373 只耳朵（45%）；（2）遮盖/垂耳，224 只耳朵（27%）；（3）混合性耳部畸形，83 只耳朵（10%）（均伴有耳甲软骨突起）；（4）Stahl 耳，66 只耳朵（8%）；（5）耳轮缘异常，58 只耳朵（7%）；（6）耳甲软骨突起，25 只耳朵（3%）；（7）隐耳，2 只耳朵（0.2%）。340 例患者（70%）存在双侧畸形，148 例患者（30%）存在单侧畸形。58 例婴儿耳朵（34 例患者）使用 EarWell 婴儿耳朵矫正系统的最终版本进行治疗，成功率超过 90%（良好至优秀结果）。当在婴儿出生后的第一周开始塑形时，该系统效果最佳。当从出生后 3 周开始塑形时，只有大约一半的婴儿有良好的反应。
先天性耳部畸形很常见，只有大约 30%可以自行矫正。这些畸形可以通过在婴儿生命的第一周开始进行适当的塑形来矫正。新生儿塑形减少了对手术矫正的需求，其结果通常超过手术矫正的效果。
