Zeng Bi, Wang Zhinan
Pediatric Otolaryngology,Pleiades Children's Hospital,Wuhan,430000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jan 5;35(1):59-61. doi: 10.13201/j.issn.2096-7993.2021.01.015.
To analyze the follow-up results of children with different types of auricle deformities after non-invasive correction, to understand the rebound rate of the children after correction, so as to provide corresponding guidance for improving the correction effect of the children's auricle. During the correction period, follow up once a day through WeChat, and once every 2 days after the correction, lasting 1 week,and if there was no change, the last follow-up was carried out after 1 month. Thirty-three cases with ear deformities were corrected, 6 cases of cryptotia, 4 cases of cup ear, 9 cases of ear tubercle malformation,4 cases of lope ear, 4 cases of constricted ear, 3 cases of prominent ear, 1 case of cryptotia mixed constricted ear, 2 cases of cryptotia mixed prominent ear. The age of 7 d to 9 months, all were corrected with EarWell non-invasive corrective system, correction duration time was 3 weeks to 6 months. The age requirements for correction of hidden ear deformities are relatively loose, and they can be corrected within 1 year old, and the correction time is about one month. With good parental post-correction care, the rebound rate is almost 0; children with ring-shaped ear deformities , Requires higher age, longer correction time, up to 6 months, rebound rate is inversely proportional to correction time. The correction time of children with helix deformity and lop ears is inversely proportional to the age of the children. Good nursing can reduce the rebound rate of auricle deformity and improve the correction effect.
分析不同类型耳廓畸形患儿无创矫正后的随访结果,了解患儿矫正后的反弹率,为提高小儿耳廓矫正效果提供相应指导。矫正期间,通过微信每天随访1次,矫正后每2天随访1次,持续1周,若无变化,则在1个月后进行最后一次随访。共矫正耳廓畸形患儿33例,其中隐耳6例,杯状耳4例,耳结节畸形9例,招风耳4例,缩窄耳4例,耳廓突出3例,隐耳合并缩窄耳1例,隐耳合并耳廓突出2例。年龄7 d至9个月,均采用EarWell无创矫正系统进行矫正,矫正持续时间3周~6个月。隐耳畸形矫正的年龄要求相对宽松,1岁以内均可矫正,矫正时间约1个月。家长矫正后护理良好,反弹率几乎为0;环形耳畸形患儿,年龄要求较高,矫正时间较长,可达6个月,反弹率与矫正时间成反比。耳廓畸形和招风耳患儿的矫正时间与患儿年龄成反比。良好的护理可降低耳廓畸形的反弹率,提高矫正效果。