组织工程与重建外科杂志 ›› 2018, Vol. 14 ›› Issue (5): 260-262.doi: 10.3969/j.issn.1673-0364.2018.05.006

• 论著 • 上一篇    下一篇

先天性耳郭形态畸形的非手术治疗

张帅,李军,刘翔琪,董晨彬   

  1. 复旦大学附属儿科医院整形外科
  • 收稿日期:2018-06-01 发布日期:2020-07-23
  • 作者简介:董晨彬(E-mail:dcb426@163.com)。

Nonsurgical Correction of Congenital Ear Deformities

ZHANG Shuai,LI Jun,LIU Xiangqi,DONG Chenbin   

  1. Plastic Surgery Department,Children’s Hospital of Fudan University
  • Received:2018-06-01 Published:2020-07-23

摘要: 目的探讨耳郭矫形器治疗先天性耳郭形态畸形的疗效。方法回顾分析2017年7月至12月以耳郭矫形器治疗的耳郭形态畸形患儿28例(34侧),平均年龄37.62 d(12~105 d)。治疗结束后1个月时,由未参与治疗的医生和患儿家长进行效果评价,并将患儿分为<6周龄和≥6周龄两组,进行统计分析。结果所有患耳均按计划完成治疗,平均治疗维持时间33.88 d(18~59 d)。医生对治疗结果的评价:满意31侧(91.2%),一般3侧(8.8%);患儿家长评价:满意29侧(85.3%),一般5侧(14.7%)。两组患儿的疗效评价无统计学差异(P>0.05)。治疗过程中,患儿出现皮损1例、皮疹2例。结论耳郭矫形器治疗先天性耳郭形态畸形是一种有效的、安全的治疗方案;推荐治疗年龄为出生后3个月内,尤其是新生儿期。

关键词: 耳郭畸形, 非手术治疗, 耳郭矫形器

Abstract: Objective To explore the effectiveness of the nonsurgical correction of congenital auricular deformities. Methods A retrospective was performed on 28 infants (34 ears) with congenital auricular deformity who were treated with the ear molding system from July 2017 to December 2017. The average age at initiation of treatment was 37.62 days (12~105 d). Doctors who were not involved in treatment and parents carried out a survey one month after treatment. All cases were divided into two groups according to the age: <6 weeks group and ≥6 weeks group, and the effectiveness of the two groups was analyzed and compared. Results Thirty-four infant ear deformities were treated with the ear molding system. The mean duration of treatment was 33.88 days (18~59 d). Thirty-one ears (91.2%) and 3 ears (8.8%) were rated as very satisfied or satisfied by doctors who were not involved in treatment; Twenty-nine ears (85.3%) and 5 ears (14.7%) were rated as very satisfied or satisfied by parents. There was no significant difference between the<6 weeks group and ≥6 weeks group (P>0.05). Complications included minor superficial excoriation (n=1) and rashes (n=2). Conclusion The nonsurgical treatment of the ear molding system is effective in treating auricular deformities in 3 months of age, especially for newborn ear deformities.

Key words: Ear deformity, Nonsurgical correction, Ear molding system

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