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先天性耳畸形矫正进展。

Update on congenital ear molding.

机构信息

Pediatric ENT and Facial Plastic Surgery, Children's Minnesota.

University of Minnesota Department of Otolaryngology-Head and Neck Surgery, St. Paul, Minnesota, USA.

出版信息

Curr Opin Otolaryngol Head Neck Surg. 2023 Aug 1;31(4):215-218. doi: 10.1097/MOO.0000000000000895. Epub 2023 Apr 6.

DOI:10.1097/MOO.0000000000000895
PMID:37039142
Abstract

PURPOSE OF REVIEW

Congenital ear deformities are characterized by distorted, but still present, landmarks of the auricle. Interventions include early treatment with ear molding or delayed surgical treatment. The purpose of this review is to provide an update on the latest information related to ear molding for congenital ear deformities.

RECENT FINDINGS

Various ear molding techniques date back to the 1980s, but with the availability of commercially available molding systems, interest and use has blossomed in recent years. As more longitudinal research results are obtained, ear molding has been proven to be a highly effective treatment, although the best technique and length of treatment remains unclear.

SUMMARY

While it is clear that earlier intervention is ideal, due to lack of public awareness, patients often present later, and it remains controversial what age to offer ear molding interventions to and still expect success. Ear molding interventions are becoming increasingly covered by insurance due to evidence of preventing long-term psychological morbidities and the need for future surgical interventions.

摘要

目的综述

先天性耳畸形的特征是耳廓的标志扭曲,但仍存在。干预措施包括早期耳模治疗或延迟手术治疗。本文的目的是提供有关先天性耳畸形耳模治疗的最新信息。

最近的发现

各种耳模技术可以追溯到 20 世纪 80 年代,但随着商业化成型系统的出现,近年来兴趣和使用都有所增加。随着更多的纵向研究结果的获得,耳模已被证明是一种非常有效的治疗方法,尽管最佳技术和治疗时间仍不清楚。

总结

虽然早期干预是理想的,但由于公众意识的缺乏,患者往往就诊较晚,对于何时进行耳模干预仍存在争议,仍期望获得成功。由于证据表明预防长期心理病态和未来手术干预的需要,耳模干预措施越来越多地被保险所涵盖。

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引用本文的文献

1
[Therapeutic effect analysis of non-invasive ear moldings on correcting congenital auricular deformity in 435 ears].[435耳非侵入性耳模矫正先天性耳廓畸形的疗效分析]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Oct;38(10):961-965;969. doi: 10.13201/j.issn.2096-7993.2024.10.015.
2
A Study on the Nonsurgical Correction Treatment Age Window and Long-Term Follow-Up of Infants With Congenital Ear Anomalies in China.中国先天性耳部畸形婴儿非手术矫正治疗年龄窗及长期随访研究
J Craniofac Surg. 2024 Apr 26;35(6):1838-43. doi: 10.1097/SCS.0000000000010125.