耳矫治器无创矫正先天性耳廓形态畸形疗效观察  

Effect of Non-invasive Correction of Congenital Auricle Deformity with Ear Appliance

作　　者：陈玉卿 章恒[1] 庄洁莲 邱婷[1] CHEN Yu-qing;ZHANG Heng;ZHUANG Jie-lian;QIU Ting(Department of Children's Health Otorhinolaryngology,Wuxi Maternal and Child Health Hospital,Wuxi 214002,Jiangsu,China)

机构地区：[1]无锡市妇幼保健院儿童保健耳鼻喉科,江苏无锡214002

出　　处：《中国美容医学》2021年第8期45-48,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨耳矫治器无创矫正先天性耳廓形态畸形的疗效。方法:选取2019年5月-2020年6月笔者医院收治的先天性耳廓形态畸形患儿204例(204耳)作为研究对象。根据患儿矫正初始年龄将其分为以下两组:小龄组(≤42d)132例,大龄组(>42d)72例,所有患儿均给予耳矫治器治疗。治疗后随访3个月,根据患儿耳廓形态进行疗效评价,并记录其矫正时间和并发症情况。结果:小龄组有效率(93.94%)高于大龄组(83.33%),矫正时间低于大龄组,差异有统计学意义(P<0.05)。随访期间,小龄组出现4例皮损,1例皮疹,1例感染;大龄组出现5例皮损,2例皮疹,3例感染;小龄组并发症总发生率(4.55%)低于大龄组(13.89%),差异有统计学意义(P<0.05)。耳矫治器治疗垂耳、招风耳、耳轮畸形、杯状耳、Stahl's耳、隐耳的有效率分别为95.65%、84.62%、96.67%、86.11%、86.36%、94.44%,以垂耳、耳轮畸形、隐耳有效率最高。结论:耳矫治器无创矫正先天性耳廓形态畸形疗效好,且患儿越早接受治疗,效果越好,矫正时间越短,并发症越少。其中以垂耳、耳轮畸形、隐耳的患儿矫正效果更佳。Objective To investigate the effect of non-invasive correction of ear appliances on congenital auricular deformation.Methods 204 infants(204 ears)with congenital auricular deformation admitted to our hospital from May 2019 to June 2020 were selected as the research objects.The children were divided into the following two groups according to the initial age of correction:the young age group(≤42d)(n=132)and the broad age group(>42d)(n=72).All children were treated with ear appliances.Follow-up for 3 months after treatment,the curative effect was evaluated according to the shape of the auricle of the child,and the correction time and complications were recorded.Results The effective rate of the young age group(93.94%)was higher than that of the broad age group(83.33%),and the difference was statistically significant(P<0.05).The correction time of the young age group was lower than that of the broad age group(P<0.05).During the follow-up,4 infants of skin lesions,one infant of rash and one infant of infection occurred in the young age group.In the broad age group,there were 5 infants of skin lesions,2 infants of rash,and 3 infants of infection.The total incidence of complications in the young age group(4.55%)was lower than that in the broad age group(13.89%,P<0.05).The effective rates of ear appliances in the treatment of lop ears,wind-induced ears,helix deformities,cup ears,Stahl's ears,and hidden ears were 95.65%,84.62%,96.67%,86.11%,86.36%,and 94.44%,respectively.Among them,lop ears,helix deformities,and hidden ears have the highest efficiency.Conclusion The non-invasive correction of ear appliances is effective in the treatment of congenital auricular deformation,and the earlier the child receives the treatment,the better the effect,the shorter the correction time,and the fewer complications.Among them,children with lop ears,helix deformities,and hidden ears have better correction effects.

关 键 词：先天性耳廓形态畸形 婴幼儿 耳矫治器 无创矫正 并发症 

分 类 号：R622[医药卫生—整形外科]