新型耳矫治器对小儿先天性耳廓畸形治疗效果分析  

The treatment effciency of a new ear moding device in the infants with congenital ear abnormalities

作　　者：陈沛维 李洁[2] 赵守琴[1] 杨劲松[1] 窦敬敏 魏臣义 CHEN Peiwei;LI Jie;ZHAO Shouqin;YANG Jingsong;DOU Jingmin;WE Chenyi(Department of Oto1aryngo1ogy—Head and Neck Surgery,Bering Tongren Hospital,Capital Medical University,Beijing,100730,China;Department of Oto1aryng0logy—Head and Neck Surgery,Beij ing Fuxing Hospital,Capital Medical University)

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉-头颈外科,北京100730 [2]首都医科大学附属复兴医院耳鼻咽喉-头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第11期849-853,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析新型耳矫治器对小儿先天性耳廓畸形的矫治疗效,以期推广临床应用。方法:使用新型EarWell耳矫治器对29例(38耳)先天性耳廓畸形患儿进行矫治,定期随访,密切观察。矫治前后对比照片由耳科、整形科医生及患儿家属共同评价,根据改善程度分为优、良、差。结果:29例(38耳)先天性耳廓畸形中,招风耳2例,杯状耳7例,垂耳4例,Stahl's耳4例,耳轮畸形4例,conchal crus畸形3例,混合性畸形4例,隐耳5例,结构畸形5例。其中2例患者(2耳)因依从性差于佩戴第3天放弃治疗,其余36例接受矫治耳均有不同程度改善,EarWell矫治器治疗成功率为94%(结果为优或良)。结论:采用EarWell耳矫治器治疗耳廓形态畸形疗效显著,早期即可取得满意效果。Earwell对新生儿耳廓形态畸形及轻度结构畸形的矫治成功率高,疗效取决于耳畸形严重程度以及开始矫治时间。无创矫治开始越早(出生后1周内),效果越好,矫治器佩戴时间越短。Objective:To observe the nonsurgical treatment effciency of a new ear moding device on congenital auricle deformities in order to promote clinical application.Method,Twenty-nine patients(38 ears)from Beijing Tongren Hospital Outpatient received ear molding treatment using the EarWell Infant Ear Correction System.We keep regular follow-up and close observation during the moding period.The treatment effciency was judged by the otologist,plastic surgeons and parents based on the preprocedure and postprocedure photographs and derided into 3 grades,excellent,good and poor.Result.Twenty-nine patients(38 ears)including prominent ear,2 ears;cup ear,7 ears;lidding/lop ear deformities,4 ears;Stahl's ear,4 ears;helical rim abnormalities,4 ears;conchal crus ear,3 ears,mixed ear deformities 4 ears;cryptotia,5 ears;ear malformation,5 ears,2 patients(2 ears)stop moding after 3 days treatment due to the low compliance of the infants,the remaining 36 ears received ear molding all have im-proved.The success rate of the EarWell Infant Ear Correction System is more than 94%(good to excellent).Conclusion.EarWell Infant Ear Correction System have a Significant moding effect and can achieve satisfactory results in early time.EarWell system has a high success rate in the treatment of neonatal auricle deformations and mild auricle malformations,depending on the severity of the deformations and the initiation of treatment time.The sooner the noninvasive moding begins(especially within one week after birth),the better effect and the shorter treatment time the patients will achieve.

关 键 词：耳廓畸形 非手术治疗 耳矫治 

分 类 号：R767.1[医药卫生—耳鼻咽喉科]