Wang Min,Zhao Sijun,Xie Lihua,et al.Efficacy of EarWell’s auricular appliance on congenital auricular morphological malformation[J].Journal of Clinical Pediatric Surgery,2019,18(05):400-403.[doi:10.3969/j.issn.1671-6353.2019.05.012]
EarWell耳廓矫正器治疗先天性耳廓形态畸形的效果评估
- Title:
- Efficacy of EarWell’s auricular appliance on congenital auricular morphological malformation
- Keywords:
- Ear/AB; Orthotic Devices; Treatment Outcome
- 分类号:
- R729;R764.7
- 摘要:
- 目的 评估EarWell耳廓矫正器纠正先天性耳廓形态畸形的疗效。方法 以2017年1月至2017年12月湖南省儿童医院收治的48例先天性耳廓形态畸形患儿为研究对象，48例均通过EarWell耳廓矫正器进行矫治并接受随访，统计不同年龄段患儿治疗时间、治疗效果相关指标、并发症发生率及复发率，并由医生和家长分别对疗效作出主观评价。结果 48例患儿日龄范围14~78 d，平均日龄（40.95±0.82） d，平均治疗时间（21.67±0.43） d。不同年龄段患儿的性别、患病侧别及患病类型分布均没有统计学差异（P>0.05）。医生及患儿家长分别认为EarWell耳廓矫正器治疗先天性耳廓形态畸形的有效率达89.58%、91.67%。48例中2例出现并发症，均为皮肤溃疡；随访过程中无一例复发。患儿年龄与治疗时间呈正相关（P<0.05），与医生及患儿家属的疗效评定等级呈负相关（P<0.05）。结论 应用EarWell耳廓矫正器矫治先天性耳廓形态畸形安全有效，患儿发病后及早进行矫治能够缩短治疗时间、提高治疗效率。
- Abstract:
- Objective To evaluate the efficacy of EarWell’s auricular appliance in correcting congenital auricular morphological malformations.Methods Forty-eight hospitalized children with congenital auricle malformations from January 2017 to December 2017 were treated with EarWell auricular appliance.Treatment course,treatment efficacy,complication rate and recurrence rate of children of different ages were recorded.And curative effects were evaluated by physician and parents respectively.Results The average age was (40.95±0.82) (14-78) days and the average number of treatment days (21.67±0.43) days.No significant differences existed in gender,affected side or disease type between children of different ages (P>0.05).The effectiveness of EarWell’s auricle corrector was 89.58% and 91.67%.Two cases of complications were of skin ulcers.There was no recurrence during a follow-up period of 2 months.Age was positively correlated with treatment days and negatively with the efficacy-rating level of physicians and parents (P<0.05).Conclusion Applying pediatric auricular appliance is both safe and effective for correcting congenital auricular morphological malformations.Early treatment shortens treatment time and improves its efficiency.
参考文献/References:
1 简炳权,杨海弟,郑亿庆,等.耳模矫正器治疗先天性耳廓形态畸形疗效[J].中国耳鼻咽喉头颈外科,2017,24(8):391-395.DOI:10.16066/j.1672-7002.2017.08.003.Jian BQ,Yang HD,Zheng YQ,et al.Efficacy of auricular molding appliance in treating congenital auricular morphological malformations[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2017,24(8):391-395.DOI:10.16066/j.1672-7002.2017.08.003.
2 邹凤,李琦,庄强尔,等.耳廓矫形器对新生儿及婴儿耳廓形态畸形的疗效观察[J].中国中西医结合耳鼻咽喉科杂志,2017,25(5):355-358. DOI:10.16542/j.cnki.issn.1007-4856.2017.05.012.Zou F,Li Q,Zhuang QE,et al.Efficacies of auricular appliance for correcting congenital auricular morphological malformations in neonates and infants[J].Chinese Journal of Otorhinolaryngology in Integrative Medicine,2017,25(5):355-358.DOI:10.16542/j.cnki.issn.1007-4856.2017.05.012.
3 陈沛维,李洁,赵守琴,等.新型耳矫治器对小儿先天性耳廓畸形治疗效果分析[J].临床耳鼻咽喉头颈外科杂志,2017,31(11):849-853.DOI:10.13201/j.issn.1001-1781.2017.11.008.Chen PW,Li J,Zhao SQ,et al.Efficacy of new auricular appliance for correcting congenital auricular morphological malformations in children[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2017,31(11):849-853.DOI:10.13201/j.issn.1001-1781.2017.11.008.
4 Karaci S,Köse R.Correction of congenital cleft earlobe with front and back flaps[J].Journal of the Korean Association of Oral & Maxillofacial Surgeons,2017,43(6):423-426.DOI:10.5125/jkaoms.2017.43.6.423
5 Bellucci RJ.Congenital aural malformations:diagnosis and treatment[J].Otolaryngologic Clinics of North America,1981,14(1):95-124.
6 Sharma SC,Mehra YN.Congenital malformations of the ear[J].Am J Otol,1986,6(2):267-269.DOI:10.1007/BF02833004.
7 杨巧,章庆国."全扩张法"耳廓再造术的临床应用及适应症的探讨[J].中华耳科学杂志,2017,15(3):301-305. DOI:10.3969/j.issn.1672-2922.2017.03.004.Yang Q,Zhang QG.Clinical applications and indications of complete expansion for aural reconstruction[J].Chinese Journal of Otology,2017,15(3):301-305.DOI:10.3969/j.issn.1672-2922.2017.03.004.
8 严小蓉,郝劲伟,孙文强.皮肤扩张法耳再造术治疗先天性小耳廓的效果及安全性观察[J].临床合理用药杂志,2018(1):161-162.Yan XR,Hao JW,Sun WQ.Efficacy and safety of skin expansion reconstruction for treating congenital microtia[J].Journal of Clinical Rational Drug Use,2018(1):161-162.
9 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.Qi XD,Zhou J.Applications and advances of noninvasive technique for correcting congenital auricular morphological malformations[J].Chinese ENT News and Reviews,2017,32(1):4-8.
10 刘嘉锋,李小丹,孙家明.Z成形术矫正隐耳及耳廓软骨畸形[J].中华整形外科杂志,2016,32(1):43-45.DOI:10.3760/cma.j.issn.1009-4598.2016.01.011.Liu JF,Li XD,Sun JM.Efficacy of using Z plasty for correcting occult ear and auricular cartilage malformation[J].Chinese Journal of Plastic Surgery,2016,32(1):43-45.DOI:10.3760/cma.j.issn.1009-4598.2016.01.011.
11 蒋大伟,耿洁,李辉,等.耳后皮瓣设计联合自体肋软骨移植一期法耳廓再造术矫治Ⅰ度小耳畸形[J].实用医药杂志,2016,33(5):401-403.DOI:10.14172/j.issn1671-4008.2016.05.008.Jiang DW,Geng J,Li H,et al.Primary auricular reconstruction for correcting degree I microtia using post-aural skin flap design plus autologous rib cartilage[J].Practical Journal of Medicine & Pharmacy,2016,33(5):401-403.DOI:10.14172/j.issn1671-4008.2016.05.008.
12 钱洪军,段红霞,杨柳,等.颅耳沟小切口微创手术治疗先天性隐耳畸形[J].中国修复重建外科杂志,2017,1(4):508-509.Qian HJ,Duan HX,Yang L,et al.Application of small cranioaural sulcus incision for microinvasive surgery of congenital occult aural malformation[J].Chinese Journal of Reparative and Reconstructive Surgery,2017,1(4):508-509.
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备注/Memo
收稿日期:2018-07-24。
基金项目:湖南省科技厅临床医疗技术创新引导计划项目（编号：2017SK50703）
通讯作者:赵斯君,Email:zhaosj3991@sohu.com