先天性耳廓畸形无创矫正随访效果观察  

Efficacy of noninvasive correction of congenital auricle deformity:a 1-year follow-up study

作　　者：徐洁[1] 高黎[1] 姚红兵[1] 苏述平[1] XU Jie;GAO Li;YAO Hongbing;SU Shuping(Department of Otorhinolaryngology,Key Laboratory of Child Development and Disorders of Ministry of Education,National Clinical Research Center for Child Health and Disorders,Chongqing Key Laboratory of Pediatrics,Children’s Hospital of Chongqing Medical University,Chongqing,400014,China)

机构地区：[1]重庆医科大学附属儿童医院耳鼻咽喉科,儿童发育疾病研究教育部重点实验室,国家儿童健康与疾病临床医学研究中心,儿科学重庆市重点实验室,重庆400014

出　　处：《第三军医大学学报》2021年第14期1402-1406,共5页Journal of Third Military Medical University

摘　　要：目的对先天性耳廓畸形进行无创耳廓矫正器纠正后随访1年,观察效果及反弹情况。方法收集2018年1月至2019年1月在本院耳鼻喉科进行无创耳廓矫正的婴幼儿51例临床资料,分析其临床特点及治疗效果,分别在矫正结束后第3、6、12个月进行随访,观察耳廓反弹情况。结果 51例(66耳)矫正结束时矫正效果显著43例57耳(86.36%),有效8例9耳(13.64%);矫正结束后第3、6、12个月时分别有6耳(9.09%)、9耳(13.64%)、9耳(13.64%)出现复发反弹,但差异无统计学意义;按照矫正初始年龄分,≤30 d组、31-90 d组、>90 d组矫正结束后第3个月反弹率分别是12.5%(3耳)、8.00%(2耳)、5.88%(1耳),差异有统计学意义(P<0.05),6、12个月的复发反弹率差异无统计学意义;按照耳廓畸形类型分,杯状耳、环缩耳、耳轮畸形矫正结束后第12个月复发反弹率分别为57.14%(4耳)、15.79%(3耳)、20.00%(2耳),但差异无统计学意义。结论无创耳廓矫正器能有效矫正小儿先天性耳廓畸形,矫正结束后6个月内有反弹,矫正初始年龄及耳廓畸形类型可能是影响反弹率的因素。Objective To evaluate the outcome of noninvasive auricle correction of congenital auricle malformation and its rebound rate after 1-year follow-up.Methods The clinical data of 51 infants(66 ears)receiving noninvasive auricle correction in our hospital from January 2018 to January 2019 were collected,and the clinical characteristics and therapeutic effects of patients were analyzed.Follow-up was conducted at 3,6 and 12 months after the correction,respectively,to observe the auricle rebound.Results Among the 51 cases,the correction effect presented significant in 43 cases(57 ears,86.36%)and effective in 8 cases(9 ears,13.64%).At 3,6 and 12 months after the correction,6 ears(9.09%),9 ears(13.64%)and 9 ears(13.64%)recurred respectively,but the difference was not significant.According to the initial age of correction,the infants were divided into≤30 d,31~90 d and>90 d groups,and the rebound rate of each group was 12.5%(3 ears),8%(2 ears)and 5.88%(1 ear),respectively(Chi-square=26.4,P<0.05)at 3 months after the correction,while the rebound rate among groups showed no significance at 6 and 12 months.In light of the type of auricle deformity,the rebound rates of cup-shaped ear,annular ear and auricle deformity were 57.14%(4 ears),15.79%(3 ears)and 20.00%(2 ears),respectively,at the 12 th month after the correction,and there was no significant difference among them.Conclusion Noninvasive auricle correction effectively corrects congenital auricle malformation in children,with rebound cases occurring within 6 months after correction.The initial age of correction and the type of auricle deformity may be the influencing factors for rebound rate.

关 键 词：耳廓畸形 耳模矫正 反弹 

分 类 号：R181.32[医药卫生—流行病学] R726.2[医药卫生—公共卫生与预防医学]