Petersson Rajanya S, Recker Chelsey A, Martin Joscelyn R K, Driscoll Colin L W, Friedman Oren
Department of Otolaryngology - Head and Neck Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Int J Pediatr Otorhinolaryngol. 2012 Oct;76(10):1406-12. doi: 10.1016/j.ijporl.2012.06.011. Epub 2012 Jul 6.
To introduce a Mayo Clinic pilot study in which newborn hearing screeners are trained to identify congenital auricular deformities, allowing for non-surgical correction with a simple splint initiated in the immediate neonatal period.
Newborn hearing screeners received education on evaluation of congenital auricular deformities. Ten infants with 19 affected ears amenable to treatment with a simple splint were enrolled between June 15 and December 10, 2009. Splinting was initiated prior to the infant's discharge from the hospital.
Congenital auricular deformities amenable to correction with splinting included cup ear, Stahl's ear, and prominent ear. All ears were assessed by physical examination and photographic documentation prior to splinting and at follow-up visits. All exhibited improvement from the original deformity after 1-4 weeks of splinting. There were no instances of skin irritation or breakdown.
Splinting therapy of congenital auricular deformities is very effective when initiated within the first 3 days of life while cartilage is quite malleable. Newborn hearing screening is performed within 24-48 h of birth and is an ideal opportunity to identify auricular deformities. This pilot study shows that early identification of auricular deformities by properly educated newborn hearing screeners is feasible, allowing for successful initiation of splinting therapy.
介绍梅奥诊所的一项试点研究，该研究中对新生儿听力筛查人员进行培训，使其能够识别先天性耳廓畸形，从而在新生儿期立即开始使用简单夹板进行非手术矫正。
对新生儿听力筛查人员进行先天性耳廓畸形评估方面的培训。2009年6月15日至12月10日期间，招募了10名患有19只适合用简单夹板治疗的患耳的婴儿。在婴儿出院前开始使用夹板。
适合用夹板矫正的先天性耳廓畸形包括杯状耳、斯塔尔氏耳和招风耳。在使用夹板前及随访时，通过体格检查和摄影记录对所有耳朵进行评估。在使用夹板1 - 4周后，所有耳朵的原始畸形均有改善。没有出现皮肤刺激或破损的情况。
当在出生后前3天内软骨仍具有很好的可塑性时，对先天性耳廓畸形进行夹板治疗非常有效。新生儿听力筛查在出生后24 - 48小时内进行，是识别耳廓畸形的理想时机。这项试点研究表明，由经过适当培训的新生儿听力筛查人员早期识别耳廓畸形是可行的，从而能够成功启动夹板治疗。
