Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 25-30.doi: 10.6040/j.issn.1673-3770.0.2021.401

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A clinical observation on effect of auricle deformity type and age on outcomes of auricle correction in 1-year-old infants

MA Xiaobao, LI Yue, SHEN Jiali, SUN Jin, CHEN Xiangping, YANG Jun, CHEN Jianyong   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine / Shanghai Jiaotong University School of Medicine Ear Institute /Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, 200092, China
  • Online:2022-01-10 Published:2022-02-22

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Abstract: Objective To explore the influence of auricle deformity type and age at the time of correction on the outcomes in order to provide references for clinical non-surgical correction of the auricle. Methods Infants with auricle deformity diagnosed in the ENT department between September 2017 and September 2019 were selected as the subjects. They were divided into two groups based on the age within 1 year. Infants less than 42 days were in the younger group, and infants more than 42 days were in the older group. The type of auricle deformity was divided into prominent ears, cup ears, lop ears, and cryptotia. The modified visual analogue scale in non-surgical auricle correction(MVAS-NAC)was used to evaluate the outcomes. Results The outcomes of the younger group were better than those of the older group(P<0.05). The relationship between the age at correction and the outcome was generally negative(P<0.05). The difference in the duration of treatment between the younger group and the older group was not statistically significant(P>0.05). No significant difference was found in the outcome among the different type of deformity groups (P>0.05). No statistical difference was seen between parents' score and doctor's score(P>0.05). The Spearman rank correlation coefficient between the parents and the doctor was 0.810. The incidence of skin complications in the younger group was lower than that in the older group(P<0.05). Conclusion The age of correction is the main factor affecting the effect of correction. Infants with age above 6 months must not be recommended for auricle correction; for infants with cryptotia, the age limitation can be relaxed. MVAS-NAC can initially be used to evaluate the effect of non-invasive correction of auricle deformities in infants.

Key words: Auricle, Auricle deformity, Non-surgical auricle correction, Age

CLC Number: 

  • R764
[1] Zhao H, Ma LM, Qi XD, 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.
[2] Byrd HS, Langevin CJ, Ghidoni LA. Ear molding in newborn infants with auricular deformities[J]. Plast Reconstr Surg, 2010, 126(4): 1191-1200. doi:10.1097/PRS.0b013e3181e617bb.
[3] 王登元, 陈智斌, 陈若希,等. 印迹法耳后皮瓣制备及修复耳郭前部皮肤缺损的临床效果[J]. 山东大学耳鼻喉眼学报, 2017, 31(3):68-70. doi:10.6040/j.isn.1673-3770.0.2016.536. WANG Dengyuan,CHEN Zhibin,CHEN Ruoxi, et al. Clinical efficacy of repairing auricular skin defects with posterior auricular flaps and their preparation with Gauzebloting[J]. JOTOLARYNGOL OPHTHALSHANDONG UNIV, 2017, 31(3):68-70. doi:10.6040/j.isn.1673-3770.0.2016.536.
[4] Mutaf M, Temel M. A new cartilage-sparing procedure for correction of the prominent ear deformity: dermal anchor technique[J]. Ann Plast Surg, 2020, 85(3): 221-228. doi:10.1097/SAP.0000000000002257.
[5] Chang CS, Bartlett SP. Deformations of the ear and their nonsurgical correction[J]. Clin Pediatr(Phila), 2019, 58(7): 798-805. doi:10.1177/0009922819844296.
[6] Chan SLS, Lim GJS, Por YC, et al. Efficacy of ear molding in infants using the EarWell infant correction system and factors affecting outcome[J]. Plast Reconstr Surg, 2019, 144(4): 648e-658e. doi:10.1097/PRS.0000000000006057.
[7] 王艳杰, 程冯丽, 赵长青. 3D打印技术应用于耳鼻咽喉科临床前瞻创新[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 114-118. doi:10.6040/j.issn.1673-3770.0.2019.538. WANG Yanjie, CHENG Fengli, ZHAO Changqing. Latest research progress of 3D printing technology and clinical applications in otorhinolaryngology[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 114-118.doi:10.6040/j.issn.1673-3770.0.2019.538.
[8] 中华医学会耳鼻咽喉头颈外科学分会小儿学组. 先天性耳郭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. Subspecialty Group of Pediatrics,Society of Otorhinolaryngology Head and Neck Surgery,Chinese Medical Association.Expertconsensus on ear molding for congenital auricular deformation[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2019, 54(5): 330-333. doi:10.3760/cma.j.issn.1673-0860.2019.05.003.
[9] Schonauer F, la Rusca I, Molea G. Non-surgical correction of deformational auricular anomalies[J]. J Plast Reconstr Aesthet Surg, 2009, 62(7): 876-883. doi:10.1016/j.bjps.2007.11.072.
[10] 钟贞, 刘玉和, 张俊波, 等. 100天内大龄儿先天性耳郭畸形无创矫正长期疗效观察[J]. 中华耳科学杂志, 2020, 18(3): 469-474. doi:10.3969/j.issn.1672-2922.2020.03.009. ZHONG Zhen, LIU Yuhe, ZHANG Junbo,et al. Long-term observation of ear molding in older infants within 100 days with congenital auricular deformities[J]. Chinese Journal of Otology, 2020, 18(3): 469-474. doi:10.3969/j.issn.1672-2922.2020.03.009.
[11] Hunter AGW, Yotsuyanagi T. The external ear: more attention to detail may aid syndrome diagnosis and contribute answers to embryological questions[J]. Am J Med Genet A, 2005, 135(3): 237-250.doi:10.1002/ajmg.a.30723.
[12] 忻蓉, 蒋黎艳, 方艳璋, 等. 新生儿耳郭形态畸形临床研究[J]. 中国耳鼻咽喉头颈外科, 2018, 25(10): 541-543. doi:10.16066/j.1672-7002.2018.10.007. XIN Rong, JIANG Liyan, FANG Yanzhang, et al. Clinical study on neonatal auricle deformity[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2018, 25(10): 541-543. doi:10.16066/j.1672-7002.2018.10.007.
[13] Chang CS, Bartlett SP. A simplified nonsurgical method for the correction of neonatal deformational auricular anomalies[J]. Clin Pediatr(Phila), 2017, 56(2): 132-139. doi:10.1177/0009922816641368.
[14] Matsuo K, Hayashi R, Kiyono M, et al. Nonsurgical correction of congenital auricular deformities[J]. Clin Plast Surg, 1990, 17(2): 383-395.
[15] 王小亚, 黄靖茹, 魏玮, 等. 275例新生儿耳郭形态的随访研究[J]. 中华耳科学杂志, 2021, 19(4): 603-607. doi:10.3969/j.issn.1672-2922.2021.04.012. WANG Xiaoya, HUANG Jingru, WEI Wei, et al. A follow-upsurvey of auricle morphology in 275 neonates[J]. Chinese Journal of Otology, 2021, 19(4): 603-607. doi:10.3969/j.issn.1672-2922.2021.04.012.
[16] Lennon C, Chinnadurai S. Nonsurgical management of congenital auricular anomalies[J]. Facial Plast Surg Clin North Am, 2018, 26(1): 1-8. doi:10.1016/j.fsc.2017.09.001.
[17] Doft MA, Goodkind AB, Diamond S, et al. The newborn butterfly project: a shortened treatment protocol for ear molding[J]. Plast Reconstr Surg, 2015, 135(3): 577e-583e. doi:10.1097/PRS.0000000000000999.
[18] Feijen MMW, van Cruchten C, Payne PE, et al. Non-surgical correction of congenital ear anomalies: a review of the literature[J]. Plast Reconstr Surg Glob Open, 2020, 8(11): e3250. doi:10.1097/GOX.0000000000003250.
[19] Gulati RD, Faraci N, Butts SC. Neonatal ear molding[J]. Laryngoscope, 2021, 131(2): E423-E427. doi:10.1002/lary.28842.
[20] Woo T, Kim YS, Roh TS, et al. Correction of congenital auricular deformities using the ear-molding technique[J]. Arch Plast Surg, 2016, 43(6): 512-517. doi:10.5999/aps.2016.43.6.512.
[21] 刘清明, 田野, 於娟娟, 等. 新生儿耳郭筛查图库管理和随访系统的研发和临床应用[J]. 中华耳科学杂志, 2021, 19(6): 1008-1012. doi:10.3969/j.issn.1672-2922.2021.06.025. LIU Qingming, TIAN Ye, YU Juanjuan, et al. Development and clinical application of A neonatal auricle screening library management and follow-up system[J]. Chinese Journal of Otology, 2021, 19(6): 1008-1012. doi:10.3969/j.issn.1672-2922.2021.06.025.
[22] Daniali LN, Rezzadeh K, Shell C, et al. Classification of newborn ear malformations and their treatment with the EarWell infant ear correction system[J]. Plast Reconstr Surg, 2017, 139(3): 681-691. doi:10.1097/PRS.0000000000003150.
[23] Wang D, Jiang HY, Yang QH, et al. Non-surgical correction of cryptotia and the analysis of treatment time and other influence factors[J]. Int J Pediatr Otorhinolaryngol, 2020, 129: 109771. doi:10.1016/j.ijporl.2019.109771.
[24] 苏钰, 丁志伟, 马坚凌. 新生儿耳郭畸形的早期认识和无创矫治[J]. 中华耳科学杂志, 2018, 16(1): 38-41. doi:10.3969/j.issn.1672-2922.2018.01.012. SU Yu, DING Zhiwei, MA Jianling. Deformational auricularanomalies in newborn infants: early recognition and non-surgical correction[J]. Chinese Journal of Otology, 2018, 16(1): 38-41. doi:10.3969/j.issn.1672-2922.2018.01.012.
[25] Woo JE, Park YH, Park EJ, et al. Effectiveness of ear splint therapy for ear deformities[J]. Ann Rehabil Med, 2017, 41(1): 138-147. doi:10.5535/arm.2017.41.1.138.
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