Schultz Kelly, Guillen Diana, Maricevich Renata S
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2017 Aug;31(3):141-145. doi: 10.1055/s-0037-1603958. Epub 2017 Aug 9.
Congenital auricular anomalies are common sources of aesthetic concern and psychosocial distress for both children and their parents. Only one-third of these anomalies self-correct, leaving a large need for acceptable corrective methods. Otoplasty is often the standard treatment; however, newer nonsurgical methods, including splinting and molding in the neonatal period, have shown favorable results without the complications of surgical intervention and with the advantage of early intervention. These treatment options have not yet been widely adopted in Western countries due to delayed diagnosis of auricular deformities and confusion regarding treatment indications and technique.
先天性耳部畸形是儿童及其父母美学关注和心理社会困扰的常见来源。这些畸形中只有三分之一会自行矫正,因此对可接受的矫正方法有很大需求。耳整形术通常是标准治疗方法;然而,包括新生儿期夹板固定和塑形在内的更新的非手术方法已显示出良好效果,没有手术干预的并发症,且具有早期干预的优势。由于耳部畸形诊断延迟以及治疗适应症和技术方面的困惑,这些治疗选择在西方国家尚未得到广泛采用。