耳矫正模型对小儿先天性耳廓畸形的近期应用研究  

Study on the recent application of ear correction model in children with congenital auricular deformity

作　　者：周智英[1] 付勇[1] 毕静[1] 蒋艾[1] 戴继任 

机构地区：[1]浙江大学医学院附属儿童医院耳鼻咽喉头颈外科,杭州310000

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第12期949-952,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：浙江省自然科学基金(No:LY14H130001);浙江省医药卫生科学研究基金计划(No:2014KYB077)

摘　　要：目的:研究Earwell耳矫正模型对小儿先天性耳廓畸形的近期应用效果。方法:耳廓畸形患儿38例(42耳),出生年龄7~176d,平均62.40d,根据年龄大小分为<28d组(1组)、28~90d组(2组)及>90d组(3组)。采用美国Earwell耳矫正模型进行矫正。结果:将耳廓形态矫正的情况分为优(同正常耳)、良(基本正常)及差(轻微改善或无变化)。采用美国Earwell耳矫正装置后,1、2、3组结果评估为优者分别占100.00%、89.47%和72.73%,平均矫正时间分别为16.75d、26.26d和38.91d,并发症发生率分别是0、73.68%和100.00%。结论:Earwell耳矫正模型对小儿先天性耳廓畸形的矫正效果显著,越早治疗效果越好,所需的矫正时间越短,并发症的发生率也越低。Objective：To study the short-term effect of Earwell ear correction model on congenital auricular deformity in children. Method：Selected 38 children with ear malformation, a total of 42 ears, born at the age of 7 days to 176 days,and the average age was 62.40 days,and all of patients were used the U.S. Earwell correction model for correction. Result：Final auricular morphologic results were classified as excellent（normal shape）, good （nearnormal shape）, and poor（slight or no improvement）. And the patients were divided into group 1 （neonatal pe- riod）, group 2（28-90 days） and group 3 （more than 90 days） according to age, after using the Earwell ear cor- rection device, the result which evaluated excellent are 100.00%, 89.47% and 72.73% respectively, and the av- erage correction times are 16.75 days, 26.26 days and 38.91 days respectively, the ratio of complications are 0, 73.68% and 100.00% respectively. Conclusion：The effection of Earwell ear correction model is significant for the correction of children with congenital auricular deformity , the ealier treatment cause the better result, the shorter of the correcting time , and the lower of the complication rate.

关 键 词：耳廓畸形 耳矫正模型 新生儿期 无创矫正 

分 类 号：R764.7[医药卫生—耳鼻咽喉科]