先天性耳廓畸形无创矫正随访效果观察

徐洁; 高黎; 姚红兵; 苏述平

doi:10.16016/j.1000-5404.202101115

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先天性耳廓畸形无创矫正随访效果观察

临床医学 | 更新时间：2026-01-09

- 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
- 第三军医大学学报 2021年43卷第14期页码：1402-1406
- 作者机构：
  
  400014 重庆，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
- 作者简介：
  
  [ 苏述平，E-mail: nanuotong@163.com SU Shuping, E-mail: nanuotong@163.com
- 基金信息：
- DOI：10.16016/j.1000-5404.202101115
  中图分类号： R181.32;R726.2;R764.71
- 收稿：2021-01-13，
  
  修回：2021-03-23，
  
  纸质出版：2021-07-30
- 稿件说明：
移动端阅览
徐洁, 高黎, 姚红兵, 等. 先天性耳廓畸形无创矫正随访效果观察[J]. 第三军医大学学报, 2021,43(14):1402-1406.

Jie XU, Li GAO, Hongbing YAO, et al. Efficacy of noninvasive correction of congenital auricle deformity: a 1-year follow-up study[J]. Journal of Third Military Medical University, 2021, 43(14): 1402-1406.
徐洁, 高黎, 姚红兵, 等. 先天性耳廓畸形无创矫正随访效果观察[J]. 第三军医大学学报, 2021,43(14):1402-1406. DOI： 10.16016/j.1000-5404.202101115.

Jie XU, Li GAO, Hongbing YAO, et al. Efficacy of noninvasive correction of congenital auricle deformity: a 1-year follow-up study[J]. Journal of Third Military Medical University, 2021, 43(14): 1402-1406. DOI： 10.16016/j.1000-5404.202101115.

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(

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。

Abstract

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

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 12th 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

Keywords

references

ZHAO H, MA L M, QI X D, et al . A morphometric study of the newborn ear and an analysis of factors related to congenital auricular deformities[J ] . Plast Reconstr Surg, 2017, 140(1): 147-155. DOI:10.1097/PRS.0000000000003443.

PETERSSONR S, FRIEDMAN O. Current trends in otoplasty[J]. Curr Opin Otolaryngol Head Neck Surg, 2008, 16(4): 352-358. DOI:10.1097/MOO.0b013e328304b40d.

KEMALOGLU C A, KILIC F, DOGAN F. Effectiveness of combined technique for the correction of prominent ears[J]. Turk J Plast Surg, 2016, 24(3): 113-117. DOI:10.5152/turkjplastsurg.2016.1969.

BYRD H S, LANGEVIN C J, GHIDONI L A. Ear molding in newborn infants with auricular deformities[J]. Plast Reconstr Surg, 2010, 126(4): 1191-1200. DOI:10.1097/PRS.0b013e3181e617bb.

徐洁, 李年琼, 王冰, 等. 国产耳廓矫正器治疗小儿先天性耳廓畸形[J]. 听力学及言语疾病杂志, 2018, 26(6): 620-623. DOI:10.3969/j.issn.1006-7299.2018.06.013.

XU J, LI N Q, WANG B, et al . Effectiveness of ear molding in the treatment of infants with congenital auricular deformity[J ] . J Audiol Speech Pathol, 2018, 26(6): 620-623. DOI:10.3969/j.issn.1006-7299.2018.06.013.

中华医学会耳鼻咽喉头颈外科学分会小儿学组. 先天性耳廓畸形耳模矫正技术专家共识[J]. 中华耳鼻咽喉头颈外科杂志, 2019, 54(5): 330-333. DOI:10.3760/cma.j.issn.1673-0860.2019.05.003.

Group of Pediatrics, Society of Otorhinolaryngology Head and Neck Surgery of Chinese Medical Association. Expert consensus on ear molding for congenital auricular deformation[J]. Chin J Otorhinolaryngol Head Neck Surg, 2019, 54(5): 330-333. DOI:10.3760/cma.j.issn.1673-0860.2019.05.003.

齐向东, 周婕. 先天性耳廓畸形无创矫正技术应用及进展[J]. 中国医学文摘(耳鼻咽喉科学), 2017, 32(1): 4-8. DOI:10.19617/j.issn1001-1307.2017.01.004.

QI X D, ZHOU J. Application and development of non-invasive method of congenital ear deformity correction[J]. Chin Med Dig Otorhinolaryngol, 2017, 32(1): 4-8. DOI:10.19617/j.issn1001-1307.2017.01.004.

王素芳, 邓哲, 韩富根, 等. 2-6月龄婴幼儿先天性耳形态畸形无创矫正的效果观察[J]. 中华耳科学杂志, 2019, 17(4): 527-531. DOI:10.3969/j.issn.1672-2922.2019.04.016.

WANG S F, DENG Z, HAN F G, et al . Ear m olding in 2-6 month-old infants with auricular deformities[J ] . Chin J Otol, 2019, 17(4): 527-531. DOI:10.3969/j.issn.1672-2922.2019.04.016.

林琳, 蒋海越, 杨庆华, 等. 先天性耳廓畸形的早期非手术治疗[J]. 中华整形外科杂志, 2018, 34(3): 197-201. DOI:10.3760/cma.j.issn.1009-4598.2018.03.008.

LIN L, JIANG H Y, YANG Q H, et al . Early non-surgical treatment of congenital auricular deformity[J ] . Chin J Plast Surg, 2018, 34(3): 197-201. DOI:10.3760/cma.j.issn.1009-4598.2018.03.008.

SORRIBES M M, TOS M. Nonsurgical treatment of prominent ears with the Auri method[J]. Arch Otolaryngol Head Neck Surg, 2002, 128(12): 1369-1376. DOI:10.1001/archotol.128.12.1369.

TAN S T, ABRAMSON D L, MACDONALD D M, et al . Molding therapy for infants with deformational auricular anomalies[J ] . Ann Plast Surg, 1997, 38(3): 263-268. DOI:10.1097/00000637-199703000-00013.

YOTSUYANAGI T. Nonsurgical correction of congenital auricular deformities in children older than early neonates[J]. Plast Reconstr Surg, 2004, 114(1): 190-191. DOI:10.1097/01.prs.0000128819.03187.5d.

郭凤凤, 于晓波, 蒋海越. 招风耳畸形的临床治疗进展[J]. 中华整形外科杂志, 2019, 35(1): 84-88. DOI:10.3760/cma.j.issn.1009-4598.2019.01.019.

GUO F F, YU X B, JIANG H Y. The current progress of clinical therapy for prominent ear[J]. Chin J Plast Surg, 2019, 35(1): 84-88. DOI:10.3760/cma.j.issn.1009-4598.2019.01.019.

陈建武, 杨杨, 齐向东. 耳廓矫形器在先天性耳廓畸形中的应用进展[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(6): 465-468. DOI:10.3760/cma.j.issn.1673-0860.2018.06.019.

CHEN J W, YANG Y, QI X D. Advance of the use of auricular othosis in congenital ear deformities[J]. Chin J Otorhinolaryngol Head Neck Surg, 2018, 53(6): 465-468. DOI:10.3760/cma.j.issn.1673-0860.2018.06.019.

ROBERTS S, WEIGHTMAN B, URBAN J, et al . Mechanical and biochemical properties of human articular cartilage in osteoarthritic femoral heads and in autopsy specimens[J ] . J Bone Joint Surg Br, 1986, 68(2): 278-288. DOI:10.1302/0301-620x.68b2.3958016.

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