Curative effect observation on deformed auricle treated with EarWell Infant Ear Correction System with modular parents'nursing education

Objective:To investigate the efficacy and patient satisfaction of the EarWell Infant Ear Correction System combined with modular parents'nursing education's curative effect on deformed auricle.Methods:A total of 42 patients(29 boys and 13 girls;73 ears;age≤3 months)with auricle deformities who had received EarWell Infant Ear Correction System's treatment and modular parents'nursing education in Guangzhou Children and Women's Medical Center between April and October 2018.The modular parents'education program is standardized by EarWell system.Physician and patients'parents compared the severity of auricle deformity separately before and after the treatment by using the auricle deformities visual analogue scales(VAS)rating system.Patient satisfaction was evaluated by using global aesthetic improvement scale(GAIS).The data collected of auricle deformities VAS and GAIS satisfaction score were applied to measure the treatment's effectiveness.Results:All the 42 patients(73 external ears)completed the treatment with EarWell Infant Ear Correction System and modular parents'nursing education.The mean age at initiation of treatment was 37.87±19.44 days and the therapeutic time span was 47.21±17.36 days.At the end of treatment,the physician's and patients'guardians rating of the severity of auricle deformity were significantly improved separately compared to the initial rating(8.33±1.27 vs.6.51±0.84;P<0.005)(5.77±1.59 vs.8.19±2.38 P<0.05).During the treatment and parents'home nursing care period,the side effect and complications were minor like skin eczema and irrigation;there were no severe complications such as necrosis of the skin and cartilage.The patient tolerance for the treatment was acceptable with the adequate parents'nursing care.Most patients'guardians were satisfied with the treatment outcomes of EarWell Infant Ear Correction System with more engagement of nursing care,the GAIS's rating were increased from pretreatment stage's 26.19%to treatment completed stage's 90.48%,and the difference was statistically significant(P<0.05).Conclusions:In this study,we proved that EarWell Infant Ear Correction System with its unique parents'modular nursing care education,as a noninvasive treatment,reasonably improved auricle morphological malformation,and patients'guardians satisfaction with few complications,which is worthy of a wildly clinical promotion.

Screening strategy and time points for newborn hearing re-screening with high risk factors

Objective: To compare and analyze the pass rate and screening strategy of hearing rescreening for newborns with high risk factors.Methods: Retrospective chart review of high-risk newborns who failed their initial newborn hearing screen and subsequently underwent secondary hearing tests from June 2011 to June 2018 in Guangzhou Women and Children’’s Medical Center were performed.Results: Eight hundred and sixty-eight newborns with high risk factors were included in the study. The 57-70 days (83.5%) and 71-84 days (83.4%) group had the highest pass rate compared with 42-56 days (75.8%) and < 42 days (68.3%) group. As for different screening strategies, the pass rate of OAE(otoacoustic emissions), AABR (auto auditory brainstem response) and OAE + AABR was the highest in 57-70 days group and 71-84 days group, respectively. The OAE + AABR had the lowest pass rate compared to the other two modalities. When the pass rate was compared as different risk factors, the 57-70 days and 71-84 days group also had the highest pass rate compared with 42-56 days and < 42 days group and the pass rate had no significant differences among various risk factors group.Conclusion: Our results showed that all the pass rate of OAE, AABR and OAE+ AABR was the highest in 57-70 days group and 71-84 days group with significant difference, suggesting that the delayed screening time (>57 days) may increase the re-screening pass rate and reduce anxiety of parents, which is of great significance for clinical work.