伴耳轮软骨粘连的先天性耳廓畸形无创矫治效果分析  

Efficacy of Non-Surgical Correction of Auricular Anomalies with Cartilage Adhesion in Newborn Infants

作　　者：李仲[1] 陈莹[1] 汤建芬[1] 张红利[2] 耿曼英[1] 张慧[1] LI Zhong;CHEN Ying;TANG Jianfen;ZHANG Hongli;GENG Manying;ZHANG Hui(Department of Otorhinolaryngology-Head and Neck Surgery,Second Affiliated Hospital,Zhengzhou University,Zhengzhou 450014,China;不详)

机构地区：[1]郑州大学第二附属医院耳鼻喉科,郑州450014 [2]郑州大学第二附属医院产科,郑州450014

出　　处：《中华耳科学杂志》2025年第1期49-53,共5页Chinese Journal of Otology

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20240328);郑州市医疗卫生领域科技创新指导计划项目(2024YLZDJH091)。

摘　　要：目的探讨伴耳轮软骨粘连的先天性耳廓形态畸形类型及耳模无创矫正器矫治效果。方法选取2019年1月至2022年10月郑州大学第二附属医院收治的63例(93耳,双侧30例,单侧33例)伴耳轮软骨粘连的先天性耳廓形态畸形患儿为研究对象,63例均通过耳廓矫正器进行矫治,2例因并发症中止治疗,余61例完成矫治接受3月随访,统计63例(93耳)耳廓形态畸形类型及患儿治疗效果、并发症及复发率情况。结果63例(93耳)根据Byrd分型包括杯状耳37耳(39.78%)、耳轮畸形26耳(27.95%)、垂耳12耳(12.90%)、复合畸形18耳(19.35%);开始矫正日龄为5~95 d,平均日龄(25.08±0.65)d,平均治疗时间(36.16±1.35)d,耳廓矫正器治疗后的情况:达到显效和治愈47耳(50.54%),有效43耳(46.24%),无效3耳(3.23%)。在矫正后3个月随访中,3耳反弹继续佩戴矫正器巩固治疗后改善,反弹率3.17%,并发症7例(10耳,10.75%),其中皮肤损伤4例,湿疹2例,耳轮脚异常凸起1例。结论耳轮软骨粘连可表现为耳廓形态畸形的多种类型,42 d内进行无创矫正效果显著,>42 d患儿矫正成功率降低、易出现并发症。Objective To report outcomes of non-surgical correction of auricular deformities with cartilage adhesion in newborn infants.Methods Clinical characteristics and therapeutic outcomes auricular deformities accompanied by cartilage adhesion in 63 infants(93 ears,30 bilateral and 33 unilateral)were reported,including types of deformity,treatment time,treatment outcomes,complications and recurrence rate.Results Based on Byrd classification,deformities included cup ear(n=37,39.78%),helical abnormalities(n=26,27.95%),lop ear(n=12,12.90%)and combined ear deformities(n=18,19.35%).Age at the time of intervention was 5~95 days(mean=5.08±0.65 days),and the average duration of treatment was 30.16±0.35 days.Two patients(3.17%)dropped out due to complications and 61 cases were followed up for 3 months.Complete resolution and significant improvement were achieved in 47 ears(50.54%),some improvement in 43 ears(46.24%),and no change in 3 ears(3.23%).Recurrence were seen in 3 ears(3.17%)and improved upon resuming treatment.Complications occurred in 7 cases(10 ears,10.75%),including skin injury(4 cases,4 ears),eczema(2 cases,4 ears)and auricular crus protrusion(1 case).Conclusion Auricular cartilage adhesions can manifest as various types of auricle deformities.Non-invasive correction within 42 days of birth is very effective.Delayed correction leads to reduced success rate and increased risk for complications.

关 键 词：耳轮软骨粘连 耳廓形态畸形 无创矫正 并发症 

分 类 号：R764.7[医药卫生—耳鼻咽喉科]