耳郭矫形器治疗先天性耳郭形态畸形的临床疗效

Clinical Efficacy of Auricle Orthosis in Treatment of Congenital Auricle Deformity

【目的】探讨耳郭矫形器治疗先天性耳郭形态畸形的临床疗效。【方法】选取2017年10月至2019年10月在本院诊治的86例年龄为2~24周、健康、仅单侧先天性耳郭形态畸形(畸形为耳轮畸形、隐耳及杯状耳其中一种)患儿,采用EarWell耳郭矫形器进行矫治,比较治疗前后耳形态数据。【结果】所有患儿均成功接受治疗,无严重并发症。治疗后容貌耳长、形态耳宽、容貌耳宽、形态耳长均长于治疗前,颅耳间垂直距离短于治疗前,差异均有统计学意义(P<0.05);但治疗前后耳颅角比较,差异无统计学意义(P>0.05)。不同年龄组治疗周期、医生对疗效的等级评定、家长满意度的VAS评分以及是否发生不良反应比较,差异具有统计学意义(P<0.05)。【结论】无创耳郭矫形治疗能有效矫正婴幼儿先天性耳郭形态畸形,且在出生6周以内开始佩戴耳模矫正器的效果最佳。

【Objective】To explore the effect of noninvasive ear model on infants with congenital auricle malformation of different ages by comparing the auricle morphology data before and after treatment.【Methods】A total of 86 healthy children aged from 2 weeks to 24 weeks who only suffered from unilateral congenital auricle morphological malformation(the malformations showed helix malformation,hidden ear and cup ear)were treated with earwell auricle orthosis.After treatment,the changes of ear morphological data were compared and the curative effect was evaluated combined with various evaluation indexes.【Results】All children were successfully treated without serious complications.After treatment,facial ear length,morphological ear width,facial ear width and morphological ear length were all longer than before treatment,and the vertical distance between cranial and ear was shorter than before treatment.The differences were statistically significant(P<0.05),However,there was no significant difference in auriculocranial Angle before and after treatment(P>0.05).There were statistically significant differences in treatment cycles,doctors'ratings of efficacy,VAS score of parents'satisfaction and the occurrence of adverse reactions in different age groups(P<0.05).【Conclusion】The noninvasive ear mold treatment can effectively correct the congenital auricle deformity of infants.And the best effect of wearing ear mold appliance is within 6 weeks after birth.