Plastic Surgery and Burns Unit, Schneider Children's Medical Center of Israel.
Department of Plastic Surgery and Burns, Rabin Medical Center, Affiliated with the Tel Aviv University School of Medicine, Petah Tikva, Israel.
J Craniofac Surg. 2022 Jun 1;33(4):e392-e396. doi: 10.1097/SCS.0000000000008301. Epub 2021 Oct 21.
Anomalies present in about 30% of newborn ears; 15% to 20% of them are permanent. Malformations can be treated solely surgically; however, deformations, when promptly diagnosed, can be treated with nonsurgical methods, such as splinting and molding. The deformity of an outward curved concha is not only an aesthetic issue, but may confer functional problems that impair hearing and hearing aid usage. The goal of this report was to present this unique anomaly and our novel noninvasive treatment protocol for its management. Our cohort comprised 10 newborns treated for outward curved concha during 2018 and 2019. The patients underwent nonsurgical treatment using the EarWell system. In some patients, the management was followed by molding and taping to achieve the best effect. Treatment for all the patients began before age 3 weeks (mean, 2 weeks). Treatment duration was 5.2 weeks, on average. Nine patients did not show any adverse effects. The majority of parents expressed satisfaction with the aesthetic result; 70% were extremely pleased. Early initiation of the treatment-protocol for outward curved concha deformation yielded excellent and timely results in the infants, without the necessity of an invasive procedure.
大约 30%的新生儿耳朵存在畸形；其中 15%至 20%为永久性畸形。畸形可单纯通过手术治疗；然而，及时诊断出的变形可通过非手术方法治疗，如夹板固定和塑形。外曲的耳甲畸形不仅是一个美学问题，还可能导致功能问题，影响听力和助听器的使用。本报告的目的是介绍这种独特的异常，并展示我们针对其治疗的新型非侵入性治疗方案。我们的队列包括 2018 年至 2019 年期间接受外曲耳甲畸形治疗的 10 名新生儿。这些患者采用 EarWell 系统接受非手术治疗。在一些患者中，治疗后采用塑形和贴带来达到最佳效果。所有患者的治疗均在 3 周龄之前（平均 2 周）开始。治疗持续时间平均为 5.2 周。9 名患者未出现任何不良反应。大多数家长对治疗结果的美学效果表示满意；70%的家长非常满意。早期开始外曲耳甲畸形的治疗方案为婴儿带来了极好且及时的效果，而无需进行有创手术。
