Earwell耳廓矫形器治疗先天性耳廓形态畸形的临床效果分析  

Clinical efficacy analysis of EarWell auricle orthosis in treatment of congenital auricle deformity

作　　者：杨慧芬 陶跃进 黄彩琴 YANG Hui-fen;TAO Yue-jin;HUANG Cai-qin(Department of Otorhinolaryngology,The Affiliated Jiangning Hospital of Nanjing Medical University,Jiangsu province,211100,China)

机构地区：[1]南京医科大学附属江宁医院耳鼻咽喉科,江苏南京311100

出　　处：《中国医疗美容》2021年第6期46-50,共5页China Medical Cosmetology

摘　　要：目的评估爱韦尔(Earwell)耳廓矫形器无创治疗先天性耳廓形态畸形的临床疗效并分析其相关影响因素。方法选取2019年5月至2020年3月南京医科大学附属江宁医院收治的36例(48耳)先天性耳廓形态畸形新生儿为研究对象,根据初始治疗年龄段不同分为3组,年龄≤7d为组1,8~42d为组2,>42d为组3,观察统计不同分组患儿的治疗时间、并发症发生率及疗效等级。结果48耳均成功应用爱韦尔(Earwell)耳廓矫形器进行治疗,显效率为89.58%(43/48),9耳(18.75%)出现并发症,经对症治疗后好转。组1平均治疗时间(18.93±4.54)小于组2(25.20±8.39)、组3(41.54±8.56),差异均有统计学意义(P<0.05),组2与组3之间差异无统计学意义(P=0.609);各组显效率呈下降趋势,分别为组1(100%),组2(95.00%),组3(69.23%),三组之间差异有统计学意义(P<0.05);各组并发症发生率呈上升趋势,分别为组1(0.00%),组2(15.00%),组3(46.15%),三组之间差异有统计学意义(P<0.05)。患儿年龄与治疗时间呈正相关(P<0.01),与疗效等级呈负相关(P=0.004)。所有病例随访6月均无复发。结论爱韦尔(Earwell)耳廓矫形器无创矫正先天性耳廓形态畸形的临床疗效显著,且安全简便,出生后7d内开始矫治疗效最佳,尽早矫正可缩短治疗时间、减少并发症发生、提高疗效。Objective To evaluate the clinical efficacy of Earwell auricle orthosis for non-invasive treatment of congenital auricle deformity and analyze the related influencing factors.Methods A total of 36 newborns(48 ears)with congenital auricle deformity admitted to The Affiliated Jiangning Hospital of Nanjing Medical University from May 2019 to March 2020 were selected as subjects.They were divided into 3 groups according to the initial treatment age,the age≤7d were taken as Group 1,age 8~42d as group 2 and age>42d as group 3.The correction time,complication rate and the efficacy grade in different groups were observed.Results A total of 48 ears were successfully treated with EarWell auricle orthosis,the apparent effective rate was 89.58%(43/48),9 ears(18.75%)had complications and was improved after symptomatic treatment.The average correction time of group 1(18.93±4.54)was less than group 2(25.20±8.39)and group 3(41.54±8.56),the differences were statistically significant(P<0.05),there was no significant difference between group 2 and group 3(p=0.609);the apparent efficiency of each group showed a decreased trend,namely group 1(100%),group 2(95.00%),group 3(69.23%),which showed statistically significances(P<0.05);The incidence of complications in each group showed an increased trend,namely group 1(0.00%),group 2(15.00%),group 3(46.15%),which showed statistically significances(P<0.05).The age of infants was positively correlated with correction time(P<0.01),and negatively correlated with the grade of efficacy(P=0.004).None recurrence occurred after 6 months of follow-up.Conclusion Earwell auricle orthosis showed a significant clinical effect on non-invasive correction of congenital auricle morphological deformity,it is safe and simple.The best therapeutic effect is within 7 days after birth.Early correction may shorten the correction time,reduce complications and improve the efficacy.

关 键 词：耳廓畸形 耳廓矫形器 无创治疗 

分 类 号：R764.7[医药卫生—耳鼻咽喉科]