Manji Inayah, Durlacher Kim, Verchere Cynthia
Division of Pediatric Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia.
Faculty of Medicine, University of British Columbia, Vancouver, British Columbia.
Paediatr Child Health. 2020 Nov 30;26(5):270-273. doi: 10.1093/pch/pxaa102. eCollection 2021 Aug.
Ear moulding in neonates has been shown to successfully correct congenital auricular anomalies. There are several available moulding techniques. However, commercially available moulding devices (e.g., EarWell and Ear Buddy) can be costly, and their alternatives have limited customizability. We present a technique using cost-effective and customizable materials for moulding common anomalies (Stahl's ear, constricted ear, and prominent ear). DuoDERM Extra-thin, Steri-strips, and 3M Kind Removal Silicone tape are used to splint the ear in a preferred position. The DuoDERM is rolled into a putty, placed in the ear, and secured with tapes. This treatment is initiated in the clinic, with weekly splint changes carried out at home by caregivers, and intermittent follow-up appointments. DuoDERM moulding is a safe, inexpensive, highly customizable, and simple way to correct auricular deformities. Primary physicians/paediatricians should embed moulding into their practice, starting treatment as early as possible in the neonatal period.
新生儿耳部塑形已被证明能成功矫正先天性耳廓畸形。有多种可用的塑形技术。然而,市售的塑形装置(如EarWell和Ear Buddy)可能成本高昂,且其替代产品的可定制性有限。我们介绍一种使用具有成本效益且可定制的材料来塑形常见畸形(斯塔尔氏耳、缩窄耳和招风耳)的技术。多爱肤超薄敷料、外科手术薄膜和3M易撕除硅胶胶带用于将耳朵固定在理想位置。将多爱肤敷料卷成油灰状,放入耳内,并用胶带固定。这种治疗在诊所开始,由护理人员在家中每周更换一次夹板,并进行间歇性随访预约。多爱肤敷料塑形是一种安全、廉价、高度可定制且简单的矫正耳廓畸形的方法。初级医生/儿科医生应将塑形纳入其诊疗工作,在新生儿期尽早开始治疗。