耳模矫正技术对Ⅱ度耳郭结构畸形矫治的远期疗效分析

Long-term effect of ear molding on the treatment of second degree auricular malformation

目的研究耳模矫正技术治疗Ⅱ度耳郭结构畸形的可行性与远期疗效。方法本项目采取单臂前瞻性研究设计,入组病例为2019年4~10月在复旦大学附属眼耳鼻喉科医院耳畸形无创矫正专病门诊进行耳模矫正的耳郭Ⅱ度结构畸形患者。拍照记录患者矫形前、矫形器佩戴中、每周随访复诊时、治疗结束即刻的耳部情况。结束治疗后继续随访6个月以上,收集远期疗效照片,同时通过改良Laberge问卷调查远期随访患儿家长的满意度。结果共入组耳郭Ⅱ度结构畸形患者16例。起始治疗的平均年龄为(19.8±11.5)d,平均治疗时间为(2.7±1.0)个月,治疗结束后平均随访时间为(8.3±1.8)个月。对比观察照片发现治疗后远期效果基本稳定,但较治疗结束时形态有所反弹。家长满意度评分为(15.1±2.2)分,属于满意范围。结论耳模矫正技术对Ⅱ度耳郭结构畸形有一定美学改善作用,患儿家长有良好的满意度,但长期疗效较治疗结束时有所反弹。

Objective To study the feasibility and long-term effect of ear molding on the treatment of second degree auricular malformation.Methods The prospective study design of single arm was adopted in this project.The enrolled cases were the patients with the second degree structural deformity of the auricle who had been corrected by ear molding in our hospital from April 2019 to October 2019.After the treatment,the patients were followed up for more than 6 months,and long-term photo results were collected for the efficiency assessment.Meanwhile,parents’satisfaction was investigated by revised LaBerge questionnaire.Results A total of 16 patients with second degree structural deformity of auricle were enrolled.The mean initial treatment time was 19.8±11.5 days,the mean treatment time was 2.7±1.0 months,and the mean follow-up time after treatment was 8.3±1.8 months.It was found that the long-term effect was basically stable after treatment,but the shape rebounded compared with that at the end of treatment.The average score of parents’satisfaction was 15.1±2.2,which belonged to the range of satisfaction.Conclusions The technique of ear molding has certain aesthetic effects on the second degree auricular structural deformity.The parents of the children were satisfied with the results.However,the long-term effect rebounded compared with the end of the treatment,suggesting that the molding time may need to be extended.