背景:耳部成型是一种安全的,非手术方法治疗新生儿先天性耳畸形。在这项研究中,我们旨在调查耳成型治疗的长期美学结果和看护者满意度。
方法:2018年至2020年对在我们机构接受耳部成型治疗的婴儿进行了回顾性图表审查。收集患者人口统计学和治疗相关变量。对看守者的经历进行了调查,期望,以及治疗后1年(短期)和3年(长期)的美学结果。独立医师评估治疗效果。反应转换为李克特量表(1-5),5代表最理想的。
结果:总体而言,42例患者中有38例(90%)参加了我们的长期研究,共62耳。平均随访时间为治疗完成后3.31±0.50年。治疗时的平均年龄为23.2±19.7天,平均治疗持续时间为21.7±7.7天。看护者对耳廓外观的满意度仍然很高(短期:4.18vs.长期:4.17,p=0.54),预期的社会痛苦随着时间的推移而减少。医生的美学评价在“有点有效”和“非常有效”之间是有利的,并且随着时间的推移保持一致(短期:3.46vs.长期:3.31,p=0.31)。此外,对于畸形(p=0.04)和在30日龄开始治疗的儿童(p=0.04),医师对畸形的评价较高.
结论:长期随访后,看护者对耳部成型治疗的满意度仍然很高,和社会的痛苦从他们的孩子的耳朵的感知减少随着时间的推移。医生的美学评级证实了疗效,在畸形中观察到比在畸形中更好的结果。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: Ear molding is a safe, non-surgical approach to treat newborns with congenital ear anomalies. In this study, we aimed to investigate long-term aesthetic outcomes and caretaker satisfaction from ear molding therapy.
METHODS: A retrospective chart review from 2018 to 2020 was conducted for infants who underwent ear molding treatment at our institution. Patient demographics and treatment related variables were collected. Caretakers were surveyed regarding their experience, expectations, and aesthetic outcome at 1 year (short-term) and 3 years (long-term) from treatment. Independent physicians evaluated treatment efficacy. Responses were converted to a Likert scale (1-5), with 5 representing most desirable.
RESULTS: Overall, 38 of 42 patients participated in our long-term study (90%) for a total of 62 ears. Average follow-up was 3.31 ± 0.50 years after completion of treatment. Mean age at treatment was 23.2 ± 19.7 days with a mean treatment duration of 21.7 ± 7.7 days. Caretakers\' satisfaction regarding auricular appearance remained high (short-term: 4.18 vs. long-term: 4.17, p = 0.54) and anticipated social distress decreased over time. Physician aesthetic evaluations were favorable between \"somewhat effective\" and \"very effective\" and remained consistent over time (short term: 3.46 vs. long-term: 3.31, p = 0.31). Furthermore, physician evaluations were higher for deformations than malformations (p = 0.04) and in children who began treatment by 30 days old (p = 0.04).
CONCLUSIONS: Caretaker satisfaction from ear molding therapy remained high after long-term follow up, and social distress from the perception of their child\'s ears decreased with time. Physician aesthetic ratings confirmed efficacy, with better outcomes seen in deformations than in malformations.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .