目的:观察EarWell耳矫形器治疗儿童不同类型耳畸形的疗效。
方法:我们选择了80名年龄<6周有耳畸形的儿童(110耳:15、30、21、25和19耳,耳突出,垂耳,杯耳,cryptotia,和螺旋轮缘畸形,分别)。有效率的差异,治疗时间,比较不同类型耳廓畸形患儿的并发症发生率。比较治疗后1个月和3个月的复发率。
结果:总体成功率为92.73%,不同类型耳廓畸形患儿的治疗有效率差异无统计学意义(P>0.05)。螺旋轮缘畸形的矫正时间最短,突出和杯状耳的矫正时间明显长于其他组(P<0.05)。与螺旋缘畸形和垂耳相关的并发症发生率较低,突出和杯耳并发症的发生率明显高于其他组(P<0.05)。患儿在矫正后1个月和3个月出现突出和杯状耳的复发率较高,耳垂和隐症患儿在治疗后1个月和3个月没有复发,与校正时间相关,并发症的发生率,结论:Earwell耳廓矫形器是治疗儿童耳廓形态畸形的有效方法。修正时间,并发症发生率,复发率与畸形类型有关。
OBJECTIVE: To observe the efficacy of EarWell ear orthosis in treating children with different types of ear deformities.
METHODS: We selected 80 children aged <6 weeks with ear deformities (110 ears: 15, 30, 21, 25, and 19 ears with prominent ear, lop ear, cup ear, cryptotia, and helical rim deformity, respectively). Differences in effectiveness rate, treatment time, and incidence of complications among children with different types of auricular deformities were compared. Recurrence rates at 1 and 3 months after the treatment were compared.
RESULTS: The overall success rate was 92.73 %, and the treatment effectiveness rate did not differ significantly among the children with different types of auricular malformations (P > 0.05). The
correction time of the helical rim deformity was the shortest, and the
correction times of the prominent and cup ears were significantly longer than those of the other groups (P < 0.05). The incidence of complications associated with helical rim deformity and lop ear was lower, and the incidence of prominent and cup ear complications was significantly higher than that in the other groups (P < 0.05). The recurrence rate in children with prominent and cup ears was higher at 1 and 3 months after
correction, and children with a lop ear and cryptotia showed no recurrence at 1 and 3 months after treatment, which correlated with the
correction time, incidence of complications, and recurrence rate (P < 0.05) CONCLUSION: The EarWell auricle orthosis is an effective treatment in children with auricular morphological malformations.
Correction time, complication rate, and recurrence rate were related to the malformation type.