Zhou Zhiying, Chen Cao, Bi Jing, Jiang Ai, Dai Jiren, Chen Wenxin, Fu Yong
Department of Otolaryngology Head and Neck Surgery, Children's Hospital Affiliated to Medical College of Zhejiang University, Zhejiang, Hangzhou, Binsheng Road 3333, 310051, China.
Department of Otolaryngology Head and Neck Surgery, Children's Hospital Affiliated to Medical College of Zhejiang University, Zhejiang, Hangzhou, Binsheng Road 3333, 310051, China.
Int J Pediatr Otorhinolaryngol. 2019 Mar;118:62-67. doi: 10.1016/j.ijporl.2018.12.022. Epub 2018 Dec 19.
To study the clinical application of ear correction model in infantile cryptotia.
A total of 108 children including 135 ears were selected from October 2016 to January 2018. The age of the children ranged from 7 days to 840 days, with an average age of 100.88 days. The children were divided into four groups based on age: group A (<28 days), group B (28 days-90 days), group C (90 days-180 days), and group D (>180 days). All the children were corrected by using ear correction models. The effective time, consolidated time and completely corrected time were calculated based on the auricular morphology.
The auricle morphology of the affected ears was nearly the same as the normal after correction by ear correction model. Statistical differences were observed on treatment time between the groups (P < 0.05), except for group B and group C (P > 0.05). In terms of complications, statistical differences were observed between the groups (P < 0.05), except for group A and group B (P > 0.05).
The ear correction model is remarkably effective in infants with cryptotia of not only less than 6 months, but also for children with cryptotia of more than 6 months. Infants under 6 months had shorter treatment time and lower complications, while infants beyond 6 months had more treatment time and higher complications.
探讨耳矫正模型在婴幼儿隐耳畸形中的临床应用。
选取2016年10月至2018年1月共108例患儿(135耳),年龄7天至840天,平均年龄100.88天。根据年龄将患儿分为四组:A组(<28天)、B组(28天至90天)、C组(90天至180天)、D组(>180天)。所有患儿均采用耳矫正模型进行矫正。根据耳廓形态计算起效时间、巩固时间及完全矫正时间。
经耳矫正模型矫正后,患耳耳廓形态与正常耳基本相同。除B组与C组外(P>0.05),各组间治疗时间差异有统计学意义(P<0.05)。在并发症方面,除A组与B组外(P>0.05),各组间差异有统计学意义(P<0.05)。
耳矫正模型对6个月以内及6个月以上婴幼儿隐耳畸形均有显著疗效。6个月以内婴幼儿治疗时间短、并发症少,6个月以上婴幼儿治疗时间长、并发症多。