Tian Y, Wang F, Yu J J, He Q Q, Guo X Q, Li D Y, Peng L, Chen T, Liu Q M
Department of Otorhinolaryngology, Zhuhai Maternal and Child Health Care Hospital, Zhuhai, 519999, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Mar;33(3):259-261. doi: 10.13201/j.issn.1001-1781.2019.03.018.
To synchronously perform external auricle examination during neonatal hearing screening, follow up auricle deformity with neonatal disease screening system, and calculate the incidence of auricle deformity, self-healing rate, correction rate, incidence of complications and the relationship with hearing loss in Zhuhai area. According to the diagnostic criteria of auricle deformity, the newborns in Zhuhai Maternal and Child Health Hospital were examined on the spot within 2 months. The deformity auricle was registered and uploaded into the newborn hearing screening system. The newborns were followed up by short message notification 7 days after birth, and then compared with the photo uploading system again. At 14 days, the ears of those who could not self-heal were went on non-invasive correction, and collect of relevant data for summary analysis. Among the 1 073 newborns(2 146 ears), 26(37 ears) with malformed ears were treated with auricular pattern correction.The corrective rates of newborns less than 14 days, 14-30 days and 31-60 days were 95%, 90% and 87% respectively, and the incidence of complications were 50%, 58% and 69%, respectively. The incidence of auricular deformities in neonates is high. The earlier correction the better. The ear deformity can be detected at the earliest stage and missed diagnosis can be avoided by simultaneous hearing screening and ear deformity screening. During the window period of 7-14 d, by monitoring the self-healing rate of the affected ear excessive medical correction can be avoided. By hearing screening system statistics, ear shape malformation is not directly related to hearing loss.
在新生儿听力筛查期间同步进行外耳道检查,通过新生儿疾病筛查系统随访耳廓畸形情况,计算珠海地区耳廓畸形的发病率、自愈率、矫正率、并发症发生率以及与听力损失的关系。根据耳廓畸形诊断标准,对珠海市妇幼保健院出生2个月内的新生儿进行现场检查。将畸形耳廓登记并上传至新生儿听力筛查系统。新生儿出生7天后通过短信通知进行随访,之后再次与照片上传系统比对。14天时,对未能自愈的耳朵进行无创矫正,并收集相关数据进行汇总分析。在1073例新生儿(2146只耳)中,26例(37只耳)耳廓畸形的新生儿接受了耳廓形态矫正。出生小于14天、14 - 30天和31 - 60天的新生儿矫正率分别为95%、90%和87%,并发症发生率分别为50%、58%和69%。新生儿耳廓畸形发病率高。矫正越早越好。通过听力筛查与耳廓畸形筛查同步进行,可在最早阶段发现耳部畸形并避免漏诊。在7 - 14天窗口期内,通过监测患耳自愈率可避免过度医疗矫正。通过听力筛查系统统计,耳廓形态畸形与听力损失无直接关系。