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耳部塑形治疗不同严重程度缩窄耳的疗效

Efficiency of ear molding for treating constricted ears of different severity.

作者信息

Zhang Li, Huang Jincheng, Lei Yanzhe, Li Xiaoou

机构信息

Department of Pediatrics, Haidian District Maternal and Child Health Care Hospital, Beijing 100091, China.

Emergency and Business Management Office, Chengdu Center for Disease Control and Prevention, Chengdu 610041, China.

出版信息

Am J Otolaryngol. 2024 Sep-Oct;45(5):104397. doi: 10.1016/j.amjoto.2024.104397. Epub 2024 Jul 18.

Abstract

PURPOSE

To investigate the treatment time and efficiency of constricted ears of different severity after correction.

MATERIALS AND METHODS

We included the patients with constricted ear presented to our hospital for treatment between December 2021 and December 2023 in this retrospective analysis. The patients were divided into class I, II and III groups based on the severity of the constriction. Then we collected the data on classification of severity from each patient, together with sex, family history, age at initial correction, being informed upon diagnosis after birth, as well as utilization of auricle correction system. Logistic regression analysis was performed to identify the factors associated with the treatment time and efficiency.

RESULTS

The correction system yielded a high effective rate in the constricted ears. The treatment time in class II was significantly longer compared with those of class I after adjusting these parameters. Compared with the cases of class I, those with a class III showed significant attenuation in the symptoms and conditions (95 % CI: 0.034, 0.365; P < 0.001), after adjusting the age at initial correction, being informed upon diagnosis after birth, and utilization of auricle correction system. There were no statistical differences between class II and III in the treatment efficiency after correction.

CONCLUSIONS

The Amazing Ear Correction System was effective in treating constricted ear, yielding satisfactory treatment efficiency. Patients with class II constriction required longer treatment time compared with those of class I. The treatment outcome in the class I constriction was better than that of class III.

摘要

目的

探讨不同严重程度的缩窄耳矫正后的治疗时间和效果。

材料与方法

本回顾性分析纳入了2021年12月至2023年12月期间到我院治疗的缩窄耳患者。根据缩窄的严重程度将患者分为I、II和III组。然后我们收集了每位患者的严重程度分类数据,以及性别、家族史、初次矫正年龄、出生后诊断时是否被告知,以及耳廓矫正系统的使用情况。进行逻辑回归分析以确定与治疗时间和效果相关的因素。

结果

矫正系统对缩窄耳的有效率较高。调整这些参数后,II级的治疗时间明显长于I级。与I级病例相比,III级病例在调整初次矫正年龄、出生后诊断时是否被告知以及耳廓矫正系统的使用情况后,症状和病情有明显减轻(95%CI:0.034,0.365;P<0.001)。矫正后II级和III级的治疗效果无统计学差异。

结论

神奇耳矫正系统治疗缩窄耳有效,治疗效果令人满意。II级缩窄患者的治疗时间比I级患者长。I级缩窄的治疗效果优于III级。

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