新生儿先天性耳廓畸形无创矫正后的随访结果分析

Analysis of follow-up results of neonatal congenital auricle deformity after noninvasive correction

目的:对不同类型的耳廓畸形患儿无创矫正后的随访结果进行分析,了解患儿矫正后的反弹率,为提高患儿耳廓的矫正效果提供相应指导。方法:矫正期间通过微信,每日随访1次,矫正结束后2 d随访1次,持续1周;若无变化,1个月后进行最后一次随访。结果:对33例耳廓畸形患儿进行矫正,6例隐耳,4例杯状耳,9例耳轮畸形,4例垂耳,4例环缩耳,3例招风耳,1例隐耳+环缩耳,2例隐耳+耳轮畸形。年龄7 d~9个月,均应用爱韦尔无创矫正器矫正,矫正时间为3周~6个月。隐耳畸形患儿矫正对年龄的要求较为宽松,1岁以内可进行矫正,矫正时间约为1个月,配合家长良好的矫正后护理,反弹率几乎为0;环缩耳畸形患儿对年龄要求较高,矫正时间较长,最长可达6个月,反弹率与矫正时间呈反比。结论:耳轮畸形、垂耳患儿矫正时间与患儿年龄大小成反比。良好的护理可以降低耳廓畸形患儿的反弹率,提高矫治效果。

Objective: To analyze the follow-up results of children with different types of auricle deformities after non-invasive correction, to understand the rebound rate of the children after correction, so as to provide corresponding guidance for improving the correction effect of the children’s auricle. Methods: During the correction period, follow up once a day through WeChat, and once every 2 days after the correction, lasting 1 week,and if there was no change, the last follow-up was carried out after 1 month. Results: Thirty-three cases with ear deformities were corrected, 6 cases of cryptotia, 4 cases of cup ear, 9 cases of ear tubercle malformation,4 cases of lope ear, 4 cases of constricted ear, 3 cases of prominent ear, 1 case of cryptotia mixed constricted ear, 2 cases of cryptotia mixed prominent ear. The age of 7 d to 9 months, all were corrected with EarWell non-invasive corrective system, correction duration time was 3 weeks to 6 months. Conclusion: The age requirements for correction of hidden ear deformities are relatively loose, and they can be corrected within 1 year old, and the correction time is about one month. With good parental post-correction care, the rebound rate is almost 0;children with ring-shaped ear deformities, Requires higher age, longer correction time, up to 6 months, rebound rate is inversely proportional to correction time. The correction time of children with helix deformity and lop ears is inversely proportional to the age of the children. Good nursing can reduce the rebound rate of auricle deformity and improve the correction effect.