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新生儿先天性耳廓畸形的人体测量学研究。

Anthropometric research of congenital auricular deformities for newborns.

作者信息

Zhao Hui, Lin Guanfeng, Seong Yong Hae, Shi Jin, Xu Jing, Huang Wenhua

机构信息

a Department of Human Anatomy , School of Basic Medical Sciences, Southern Medical University , Guangzhou , China.

b Teaching and Scientific Research Center, School of Laboratory Medicine and Biotechnology, Southern Medical University , Guangzhou , China.

出版信息

J Matern Fetal Neonatal Med. 2019 Apr;32(7):1176-1183. doi: 10.1080/14767058.2017.1402877. Epub 2017 Dec 8.

Abstract

This study aimed to get the data of Neonatal auricle for helping pediatricians and obstetricians to make definite diagnosis and individualized treatment for newborn congenital auricular deformities in China. A total of 1500 newborns' ears were evaluated in this study. Six surface measurements were performed directly on the auricles of the subjects as follows: physiognomic ear length and breadth, morphological ear length and breadth, cephalo-auricular distance, and cephalo otic angle. The incidence of neonatal auricular deformities in the Pearl River Delta area was 57.47% and the self-healing rate was 31.61% by the 30-day follow-up. There were significant differences between different types of auricular deformities (protruding ear, cup ear, lop ear, Stahl's ear, conchal crus, helical rim deformity, and composite deformity) and normal morphological differences of the auricle. Our findings suggested that individual differences in ear morphology are large and there were some differences between measurement data in our study and EarWell. Application of the EarWell system may lead to localized skin excoriations or breakdown as a result of mismatch with the ear. Therefore, early use of personalized ear molds produced by three-dimensional printing to determine if more deformed auricles may be corrected.

摘要

本研究旨在获取新生儿耳廓数据,以帮助中国的儿科医生和产科医生对新生儿先天性耳廓畸形进行明确诊断和个体化治疗。本研究共评估了1500例新生儿的耳朵。对受试者的耳廓直接进行了六项表面测量,具体如下:容貌耳长和耳宽、形态耳长和耳宽、头耳距离以及头耳角。珠江三角洲地区新生儿耳廓畸形的发生率为57.47%,30天随访时自愈率为31.61%。不同类型的耳廓畸形(招风耳、杯状耳、垂耳、斯塔尔氏耳、耳甲艇、耳廓边缘畸形和复合畸形)与正常耳廓形态差异之间存在显著差异。我们的研究结果表明,耳朵形态的个体差异很大,我们研究中的测量数据与EarWell之间存在一些差异。由于与耳朵不匹配,使用EarWell系统可能会导致局部皮肤擦伤或破损。因此,早期使用三维打印制作的个性化耳模来确定是否可以矫正更多畸形耳廓。

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