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[435耳非侵入性耳模矫正先天性耳廓畸形的疗效分析]

[Therapeutic effect analysis of non-invasive ear moldings on correcting congenital auricular deformity in 435 ears].

作者信息

Jia Xuan, Xiao Chuang, Liu Min

机构信息

Department of Otorhinolaryngology Head and Neck Surgery,Chengdu Women's and Children's Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu,610000,China.

出版信息

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.

Abstract

To evaluate the therapeutic effect of non-invasive ear moldings on correcting congenital auricular deformity of infants. A total of 435 ears with congenital auricular deformity were treated in the department of Otorhinolaryngology of Chengdu Women and Children's Central Hospital from December 2019 to July 2023. The infants were divided into 3 groups according to the initial treatment age, i. e. , 0-30 days(group A, =106, 175 ears), 31-90 days(group B, =124, 202 ears) and ≥91 days(group C, =37, 58 ears). All infants were corrected with Chinese ear moldings. The efficacy, complication rate and treatment duration were compared among the three groups, and the treatments of different types of auricle deformity was analyzed. Through comparison of three groups, the results showed that the markedly effective and cured rate of group A was the highest, and group C was the lowest. The difference was statistically significant(=0.008). Specially, there was a significant decrease of after 5 months in Group C. There was no significant difference in the complication rate among the three groups(=0.232), and the occurrence of complications has no significant impact on treatment. Group C has the longest treatment duration and group A has the shortest. The difference was statistically significant(<0.001). Congenital auricle deformity should be early detected and intervened. The younger the age of children, the better efficacy and shorter treatment duration can be acquired. Children under 5 months still will receive a good treatment. Nevertheless, for children older than 5 months, corrective treatment may also be considered. The efficacy for malformations was significantly lower than that of deformations. The number of cases, efficacy and complication rate for different types of deformations were significantly different.

摘要

评估无创耳模矫正婴儿先天性耳廓畸形的治疗效果。2019年12月至2023年7月,成都妇女儿童中心医院耳鼻咽喉科共治疗435例先天性耳廓畸形患儿。根据初始治疗年龄将患儿分为3组,即0 - 30天组(A组,n = 106,175耳)、31 - 90天组(B组,n = 124,202耳)和≥91天组(C组,n = 37,58耳)。所有患儿均采用国产耳模进行矫正。比较三组的疗效、并发症发生率和治疗时长,并分析不同类型耳廓畸形的治疗情况。通过三组比较,结果显示A组的显效率和治愈率最高,C组最低。差异有统计学意义(P = 0.008)。特别地,C组在5个月后有显著下降。三组并发症发生率差异无统计学意义(P = 0.232),且并发症的发生对治疗无显著影响。C组治疗时长最长,A组最短。差异有统计学意义(P < 0.001)。先天性耳廓畸形应早发现、早干预。患儿年龄越小,疗效越好,治疗时长越短。5个月以下患儿仍可获得较好治疗效果。不过,对于5个月以上患儿,也可考虑进行矫正治疗。畸形的疗效显著低于变形。不同类型变形的病例数、疗效和并发症发生率差异显著。

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本文引用的文献

1
[Analysis of risk factors for congenital auriclar deformity and its different types].先天性耳廓畸形及其不同类型的危险因素分析
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Feb;38(2):160-163;167. doi: 10.13201/j.issn.2096-7993.2024.02.015.
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Curr Opin Otolaryngol Head Neck Surg. 2023 Aug 1;31(4):215-218. doi: 10.1097/MOO.0000000000000895. Epub 2023 Apr 6.
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One-Year Outcomes of Ear Molding for Infants with Constricted Ear.耳畸形矫正器治疗婴儿小耳畸形的 1 年疗效。
Plast Reconstr Surg. 2023 Jan 1;151(1):159-166. doi: 10.1097/PRS.0000000000009781. Epub 2022 Oct 18.
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[Nonsurgical correction of cryptotia in children older than early neonates].[早期新生儿以上儿童隐耳的非手术矫正]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Mar;36(3):176-179. doi: 10.13201/j.issn.2096-7993.2022.03.004.
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