International Joint Laboratory for Cell Medical Engineering of Henan Province, Huaihe Hospital of Henan University, Kaifeng, China.
Henan Engineering Laboratory for Translational Medicine of Infectious Diseases, Huaihe Hospital of Henan University, Kaifeng, China.
ORL J Otorhinolaryngol Relat Spec. 2021;83(2):59-64. doi: 10.1159/000509493. Epub 2021 Jan 13.
Congenital auricular deformity (CAD) is a common postpartum deformity, and nonsurgical correction of CAD has been recognized as a safe and effective approach. Three-dimensional (3D) technique has been used in surgical reconstruction of unilateral microtia; however, 3D technique used in nonsurgical correction for deformational CAD has not been reported.
In this study, 12 CAD patients aged from 0.6 to 7 months with 16 deformational CAD were treated with 3D technique-based personalized nonsurgical correction (3D-NSC). Patients' CAD was photographed pre- and post-correction, and clinical outcome was evaluated as poor, fair, good, and excellent by comparing pre- and post-correction pictures. Different kinds of tests were used to analyze the data.
All patients got an improved auricle shape (10 excellent, 2 good, and 4 fair). Multivariate regression analysis showed that CAD type was significantly associated with correction outcome, sex and age were significantly associated with correction outcome for the 11 constructed types of CAD, and age was significantly associated with the correction outcome when we focused on the male constructed auricles.
3D-NSC provided a significant nonsurgical clinical treatment for CAD patients, with younger patients getting better clinical outcomes with shorter correction time.
先天性耳廓畸形（CAD）是一种常见的产后畸形，非手术矫正 CAD 已被认为是一种安全有效的方法。三维（3D）技术已用于单侧小耳的手术重建；然而，尚未有报道将 3D 技术应用于变形性 CAD 的非手术矫正。
本研究中，对 12 例年龄在 0.6 至 7 个月、16 例变形性 CAD 的 CAD 患者采用基于 3D 技术的个性化非手术矫正（3D-NSC）。在矫正前后对患者的 CAD 进行拍照，并通过比较矫正前后的照片来评估临床疗效，分为差、中、良、优。使用不同的测试方法来分析数据。
所有患者的耳廓形状均得到改善（10 例优，2 例良，4 例可）。多变量回归分析显示，CAD 类型与矫正效果显著相关，性别和年龄与 11 种构建类型的 CAD 矫正效果显著相关，而当我们关注男性构建的耳廓时，年龄与矫正效果显著相关。
3D-NSC 为 CAD 患者提供了一种重要的非手术临床治疗方法，年龄较小的患者矫正时间较短，临床疗效更好。
