Chang Yachun, Chen Lirong
From the Department of Rehabilitation, Mennonite Christian Hospital, Hualien City, Hualien County, Taiwan, Republic of China.
Plast Reconstr Surg Glob Open. 2024 Jul 5;12(7):e5961. doi: 10.1097/GOX.0000000000005961. eCollection 2024 Jul.
Congenital auricular anomaly is a common problem for newborns. In recent years, the correction technology of ear molding has gradually become the mainstream therapy. Therefore, the purpose of this case report is to describe ear molding devices with low-temperature thermoplastic splints, designed by occupational therapists and called the Ear Splint for Taiwan, and to explore its effectiveness in treating newborns with congenital auricular anomalies. The ear splint is made by an occupational therapist based on the theory of corrective mechanics. The molded splint adjusts the ear to normal shape. Patients who received ear treatments at the Mennonite Christian Hospital in 2020 were enrolled as the subjects. A posttest research design was adopted in this case report to conduct a questionnaire survey among parents. The ear splint is a double C-shaped bracket. In this case report, there were two subjects in total, and two different types of malformed ears. According to the questionnaire survey, the average score of auricle shape improvement effectiveness after interventions were 5 and 4 points (5 excellent; 1 bad). The results of this case report indicate that it is feasible for occupational therapists to use the ear splint to mold the congenital auricular anomalies of newborns. Preliminary evidence shows that ear shapes can be corrected. The ear splint provides an early interventional therapy for newborns with congenital auricular anomalies in Taiwan.
先天性耳廓畸形是新生儿常见的问题。近年来,耳部塑形矫正技术逐渐成为主流治疗方法。因此,本病例报告的目的是描述由职业治疗师设计的、名为台湾耳夹板的低温热塑性夹板耳部塑形装置,并探讨其在治疗先天性耳廓畸形新生儿中的有效性。耳夹板由职业治疗师根据矫正力学原理制作。塑形后的夹板将耳朵调整为正常形状。选取2020年在门诺基督教医院接受耳部治疗的患者作为研究对象。本病例报告采用事后测试研究设计对家长进行问卷调查。耳夹板是一种双C形支架。本病例报告共有两名研究对象,耳部畸形类型不同。根据问卷调查,干预后耳廓形状改善效果的平均得分为5分和4分(5分为优秀;1分为差)。本病例报告结果表明,职业治疗师使用耳夹板对新生儿先天性耳廓畸形进行塑形是可行的。初步证据显示耳朵形状可以得到矫正。耳夹板为台湾先天性耳廓畸形新生儿提供了一种早期干预治疗方法。