Newborn ear defomities and their treatment efficiency with Earwell infant ear correction system in China
Newborn ear defomities and their treatment efficiency with Earwell infant ear correction system in China
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中国新生儿耳部畸形及Earwell婴儿耳部矫正系统的治疗效果
DOI：
10.1016/j.ijporl.2019.06.001
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发表时间：
2019-09-01
影响因子：
1.5
通讯作者：
Zhang, Tian-yu
中科院分区：
文献类型：
--
作者：
Zhang, Jun-li;Li, Chen-long;Zhang, Tian-yu
介绍：新生儿耳畸形可以通过Earwell婴儿耳矫正系统进行非手术治疗，以避免整形手术。新生儿期耳廓柔软，软骨可塑性强，畸形耳廓可采用机械矫正。我们选取2016年4月至2018年12月在复旦大学附属眼耳鼻喉科医院接受Earwell无创矫正系统治疗新生儿耳畸形的患者，分析治疗年龄、治疗时间、结果：105例141耳新生儿耳畸形均采用Earwell无创矫治系统进行矫治。平均治疗年龄为2.16 +/-2.28个月（0.23 - 12.0个月）。平均治疗时间为1.14 ± 0.57个月（0.33 - 4.0个月）。结果：优109耳，良27耳，差5耳。并发症中6例出现局部皮疹，5例出现皮损，3-5天后痊愈。9例有不同程度复发。治疗年龄小于6周组疗效优于治疗年龄大于6周组（χ 2 = 4.48，P <0.05）。结论：Earwell婴幼儿耳畸形矫正系统是一种简单、无创、高效、低成本的治疗方法，比传统的整形外科手术效果更好，在我国对不同类型的耳畸形的治疗有效率可达95%以上。重要的是确保在前6周内进行早期治疗。
Introduction: Newborn ear deformity can be performed through Earwell infant ear correction system as a nonsurgical treatment to avoid plastic surgery. In the newborn period, the auricle is soft and the cartilage is plastic, the deformed auricle shape can be treated by mechanical action.Methods: From April 2016 to December 2018, we selected the patients who underwent Earwell non-invasive correction system in Eye & ENT Hospital of Fudan University for newborn ear deformities, and analyze the treatment age, treatment time, efficiency and complication of these patients.Results: There were 105 patients with 141 ears underwent Earwell non-invasive correction system for newborn ear deformities. The average age for treatment is 2.16 +/- 2.28 months (0.23-12.0 months). The average treatment time is 1.14 +/- 0.57 months (0.33-4.0 months). The treatment outcomes show 109 ears get excellent results, 27 ears good results and 5 ears poor results. For complications, there were 6 patients had localized skin rash and 5 had skin lesion which were cured after 3-5 days. Nine patients had different degree of recurrence. The treatment age less than 6 weeks had a better results than treatment age old than 6 weeks (chi(2) = 4.48, p < 0.05). Except 5 poor results patients, the treatment efficiency is 96.4% (136/141) in this study.Conclusions: The Earwell infant ear correction system is proven to be a simple, non-invasive, high-efficiency, low-cost treatment method, which is more effective than traditional plastic surgery, and treatment efficiency of different types ear deformities can reach more than 95% in China. It is important to ensure the early treatment during the first 6 weeks.