Woo Ji Eun, Park Yul-Hyun, Park Eun Ji, Park Kyu Yong, Kim Sun Hee, Yim Shin-Young
The Center for Torticollis, Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon, Korea.
Ann Rehabil Med. 2017 Feb;41(1):138-147. doi: 10.5535/arm.2017.41.1.138. Epub 2017 Feb 28.
To present our experience with ear splint therapy for babies with ear deformities, and thereby demonstrate that this therapy is an effective and safe intervention without significant complications.
This was a retrospective study of 54 babies (35 boys and 19 girls; 80 ears; age ≤3 months) with ear deformities who had received ear splint therapy at the Center for Torticollis, Department of Physical Medicine and Rehabilitation, Ajou University Hospital between December 2014 and February 2016. Before the initiation of ear splint therapy, ear deformities were classified with reference to the standard terminology. We compared the severity of ear deformity before and after ear splint therapy by using the physician's ratings. We also compared the physician's ratings and the caregiver's ratings on completion of ear splint therapy.
Among these 54 babies, 41 children (58 ears, 72.5%) completed the ear splint therapy. The mean age at initiation of therapy was 52.91±18.26 days and the treatment duration was 44.27±32.06 days. Satyr ear, forward-facing ear lobe, Darwinian notch, overfolded ear, and cupped ear were the five most common ear deformities. At the completion of therapy, the final physician's ratings of ear deformities were significantly improved compared to the initial ratings (8.28±1.44 vs. 2.51±0.92; p<0.001). There was no significant difference between the physician's ratings and the caregiver's ratings at the completion of ear splint therapy (8.28±1.44 vs. 8.0±1.61; p=0.297).
We demonstrated that ear splint therapy significantly improved ear deformities in babies, as measured by quantitative rating scales. Ear splint therapy is an effective and safe intervention for babies with ear deformities.
介绍我们对耳部畸形婴儿进行耳夹板治疗的经验，从而证明该治疗是一种有效且安全的干预措施，无明显并发症。
这是一项回顾性研究，研究对象为2014年12月至2016年2月期间在阿朱大学医院物理医学与康复科斜颈中心接受耳夹板治疗的54例耳部畸形婴儿（35例男孩和19例女孩；80只耳朵；年龄≤3个月）。在开始耳夹板治疗前，参照标准术语对耳部畸形进行分类。我们通过医生评分比较耳夹板治疗前后耳部畸形的严重程度。我们还比较了耳夹板治疗完成时医生的评分和护理人员的评分。
在这54例婴儿中，41例儿童（58只耳朵，72.5%）完成了耳夹板治疗。治疗开始时的平均年龄为52.91±18.26天，治疗持续时间为44.27±32.06天。羊耳、向前的耳垂、达尔文结节、折叠耳和杯状耳是五种最常见的耳部畸形。治疗结束时，与初始评分相比，医生对耳部畸形的最终评分有显著改善（8.28±1.44对2.51±0.92；p<0.001）。耳夹板治疗完成时，医生的评分与护理人员的评分之间无显著差异（8.28±1.44对8.0±1.61；p=0.297）。
我们证明，通过定量评分量表测量，耳夹板治疗可显著改善婴儿的耳部畸形。耳夹板治疗是一种对耳部畸形婴儿有效且安全的干预措施。
