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不同年龄先天性耳廓畸形耳模矫正的疗效分析

Efficacy Analysis of Ear Molding Correction for Congenital Auricular Deformities at Different Ages.

作者信息

Liu Lu, Liu Min, Xu You, Xu Lang

机构信息

Department of Otolaryngology, Head and Neck Surgery, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 611731, China.

出版信息

Aesthetic Plast Surg. 2025 Sep 19. doi: 10.1007/s00266-025-05271-3.

Abstract

OBJECTIVE

To compare the clinical outcomes of ear molding correction in children with congenital auricular deformities at different ages, explore the optimal timing and latest time window for ear molding correction.

METHODS

This retrospective study analyzed data from children with congenital auricular deformities who underwent ear molding correction in our department from January 2021 to June 2024. Children were divided into four groups based on their ages at initial treatment: Group A (≤21 days) , Group B (22-42 days) , Group C (43-90 days) , and Group D (≥91 days) . The success rate, treatment duration, and incidence of complications were compared among the four groups.

RESULTS

The success rates in Groups A, B, and C were comparable and significantly higher than in Group D (p < 0.05). Notably, the success rate for correcting cryptotia was 100% across all groups. Treatment duration was shortest in Group A (p < 0.05), while there were no statistically significant differences in complication rates among the four groups (p > 0.05).

CONCLUSION

The optimal timing for ear molding correction in children with congenital auricular deformities is within 21 days after birth, ensuring the highest efficiency and shortest treatment duration. If this optimal period is missed, correction within 90 days remains a viable option. Children with cryptotia older than 90 days still respond well to corrective treatment, but the latest age for treatment has not yet been determined.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

摘要

目的

比较不同年龄先天性耳廓畸形患儿耳模矫正的临床效果,探讨耳模矫正的最佳时机及最晚时间窗。

方法

本回顾性研究分析了2021年1月至2024年6月在我科接受耳模矫正的先天性耳廓畸形患儿的数据。根据初始治疗时的年龄将患儿分为四组:A组(≤21天)、B组(22 - 42天)、C组(43 - 90天)和D组(≥91天)。比较四组的成功率、治疗时长及并发症发生率。

结果

A组、B组和C组的成功率相当,且显著高于D组(p < 0.05)。值得注意的是,所有组的隐耳矫正成功率均为100%。A组的治疗时长最短(p < 0.05),而四组的并发症发生率无统计学差异(p > 0.05)。

结论

先天性耳廓畸形患儿耳模矫正的最佳时机是出生后21天内,可确保最高效率和最短治疗时长。若错过这一最佳时期,90天内矫正仍是可行选择。90天以上的隐耳患儿对矫正治疗仍反应良好,但治疗的最晚年龄尚未确定。

证据级别IV:本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述,请参阅目录或作者在线指南www.springer.com/00266。

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