Objective:To observe whether the Ear Well infant ear correction system makes any difference in terms of the treatment effect,duration,complication rate,and nursing care requirements in different types of infant auricl...Objective:To observe whether the Ear Well infant ear correction system makes any difference in terms of the treatment effect,duration,complication rate,and nursing care requirements in different types of infant auricle deformities.Methods:A total of 93 infant patients with auricular deformity(age:<3 months of age)who were diagnosed and treated in Guangzhou Children and Women’s Medical Center from April 2018 to September 2020 were selected and treated with the Ear Well infant ear correction system.We observed and recorded the effects of the Ear Well infant ear correction system,the treatment duration,the number of rebound cases,and complications that are likely to occur during treatment,and noted the related factors causing complications and the relative requirements for nursing care.Results:The Earwell infant ear correction system could effectively correct infant auricle deformities.Among the 93 cases,90 cases had positive therapeutical outcome and the effective rate was 96.77%.The treatment duration for lop ear and protruding ear was longer than for other auricle deformities;the deformity recoil and the treatment compilation rates were much higher for these 2 deformity types,and the difference was statistically significant(P<0.05).Conclusions:The treatment suggestion for the wearing duration of the Ear Well infant ear correction system for lop ear and protruding ear is a prolonged duration compared with that for other infant auricle deformities.Fur ther,the requirements for nursing care intensity and infant patient’s guardian’s nursing knowledge and skill are obviously increased for these 2 types of auricle deformities.展开更多
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 ...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.展开更多
Epidermoid cysts are benign, developmental, superficial cysts found commonly on the face, trunk and neck. Its presence on the ear lobe is very rare. We shall describe the occurrence of an epidermoid cyst on the auricl...Epidermoid cysts are benign, developmental, superficial cysts found commonly on the face, trunk and neck. Its presence on the ear lobe is very rare. We shall describe the occurrence of an epidermoid cyst on the auricle along with the presence of a dermoid cyst over the occipital scalp and elaborate on the patient presentation, diagnosis, management along with the post-operative follow up.展开更多
Objective:To treat and prevent auricular keloid so as to imporve the cure rate and lower the rate of recurrence. Methods:Taking 156 sufferers of auriclar keloid at the orthopaedics department of the Southwest Hospital...Objective:To treat and prevent auricular keloid so as to imporve the cure rate and lower the rate of recurrence. Methods:Taking 156 sufferers of auriclar keloid at the orthopaedics department of the Southwest Hospital under the Third Military Medical University from June, 2008 to June, 2011 as the research subject, this research carried out retrospective analysis and summary of different surgical methods with the clinical data of subseque nt treatments, including medicament, radiotheropy, pressure, etc. Results:There was no auricular cartilage necrosis and deformation in the total of 156 cases. It was found that 134 cases were cured in a year of postoperative follow-up, getting the care rate to 85.9%. The treatment was effective on 20 cases, with the effective rate of 12.8%, while it was ineffective on 2 cases, with the ineffective rate being 1.3%. However, two cases showed tendency towards recurrence, which were treated effectively by non-surgical methods like local hormone injection. There was neither recurrence nor apparent hyperplasia of hypertrophic scars on the rest cases, with the auricle and the earlobe in good shape. Conclusion:By auricular keloid excision and stripping surgery, surgical suture tension was reduced. Glucocorticoid and radiotherapy were instantly applied to inhibit pyperplasia of cicatrical tissue. Subsequently, pressure, anti-scarring drugs and silicone membrane were adopted to ensure fine postoperative apperance and reduce recurrence. These methods were proved to be effectiveand they provided systematic and effective treatment for auricular keloid.展开更多
Objective To review the advances in research on factors of cranioauricular angle formation after auricular reconstruction.Methods The related literature concerning the main surgical methods and influencing factors for...Objective To review the advances in research on factors of cranioauricular angle formation after auricular reconstruction.Methods The related literature concerning the main surgical methods and influencing factors for the ear elevation by Nataga method and dilated method was reviewed and summarized.Results The ear elevation by Nataga method and dilated method has achieved satisfactory clinical results.Although rapid prototyping technology and tissue engineering have developed rapidly,it is still some time before a beautiful and practical cranioauricular angle can be reconstructed.Conclusion The surgical programs for ear elevation by Nataga method and dilated method have been constantly improved in recent years,which provides a great deal of reference for obtaining a beautiful and practical cranioauricular angle.展开更多
Objective To establish the local data on the growth of ear in Hong Kong children and provide a reference for the timing of reconstruction in unilateral microtia.Methods We reviewed case notes of paediatric patients up...Objective To establish the local data on the growth of ear in Hong Kong children and provide a reference for the timing of reconstruction in unilateral microtia.Methods We reviewed case notes of paediatric patients up to 18 years of age who had attended our Ear,Nose and Throat Out-patient Clinic from March to November 2017.We recorded the pinna length of these patients and that of their parents,compared the patients’ear length against that of their parents,and investigated any discrepancy of pinna.Results We recruited 226 local individuals(139 males and 87 females).The patients were divided into different age groups.The means of ear length of patients were compared with the mean length of pinna of their parents.Data of boys and girls are analyzed separately.Boys at 7-8 years old achieved 87.33%and 93.54%of their fathers’and mothers’ear length respectively.Girls at 7-8 years old achieved 83.00%and 90.80%of their fathers’and mothers’ear length respectively.Moreover,the average ratio of the length of left and right ear ratio is 97.3%in all groups of children.Conclusions In Hong Kong children,at the age of 7-8 the ear approaches the size of normal adult ear and is the feasible age with less asymmetry after reconstruction of the microtia.展开更多
文摘Objective:To observe whether the Ear Well infant ear correction system makes any difference in terms of the treatment effect,duration,complication rate,and nursing care requirements in different types of infant auricle deformities.Methods:A total of 93 infant patients with auricular deformity(age:<3 months of age)who were diagnosed and treated in Guangzhou Children and Women’s Medical Center from April 2018 to September 2020 were selected and treated with the Ear Well infant ear correction system.We observed and recorded the effects of the Ear Well infant ear correction system,the treatment duration,the number of rebound cases,and complications that are likely to occur during treatment,and noted the related factors causing complications and the relative requirements for nursing care.Results:The Earwell infant ear correction system could effectively correct infant auricle deformities.Among the 93 cases,90 cases had positive therapeutical outcome and the effective rate was 96.77%.The treatment duration for lop ear and protruding ear was longer than for other auricle deformities;the deformity recoil and the treatment compilation rates were much higher for these 2 deformity types,and the difference was statistically significant(P<0.05).Conclusions:The treatment suggestion for the wearing duration of the Ear Well infant ear correction system for lop ear and protruding ear is a prolonged duration compared with that for other infant auricle deformities.Fur ther,the requirements for nursing care intensity and infant patient’s guardian’s nursing knowledge and skill are obviously increased for these 2 types of auricle deformities.
文摘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.
文摘Epidermoid cysts are benign, developmental, superficial cysts found commonly on the face, trunk and neck. Its presence on the ear lobe is very rare. We shall describe the occurrence of an epidermoid cyst on the auricle along with the presence of a dermoid cyst over the occipital scalp and elaborate on the patient presentation, diagnosis, management along with the post-operative follow up.
文摘Objective:To treat and prevent auricular keloid so as to imporve the cure rate and lower the rate of recurrence. Methods:Taking 156 sufferers of auriclar keloid at the orthopaedics department of the Southwest Hospital under the Third Military Medical University from June, 2008 to June, 2011 as the research subject, this research carried out retrospective analysis and summary of different surgical methods with the clinical data of subseque nt treatments, including medicament, radiotheropy, pressure, etc. Results:There was no auricular cartilage necrosis and deformation in the total of 156 cases. It was found that 134 cases were cured in a year of postoperative follow-up, getting the care rate to 85.9%. The treatment was effective on 20 cases, with the effective rate of 12.8%, while it was ineffective on 2 cases, with the ineffective rate being 1.3%. However, two cases showed tendency towards recurrence, which were treated effectively by non-surgical methods like local hormone injection. There was neither recurrence nor apparent hyperplasia of hypertrophic scars on the rest cases, with the auricle and the earlobe in good shape. Conclusion:By auricular keloid excision and stripping surgery, surgical suture tension was reduced. Glucocorticoid and radiotherapy were instantly applied to inhibit pyperplasia of cicatrical tissue. Subsequently, pressure, anti-scarring drugs and silicone membrane were adopted to ensure fine postoperative apperance and reduce recurrence. These methods were proved to be effectiveand they provided systematic and effective treatment for auricular keloid.
文摘Objective To review the advances in research on factors of cranioauricular angle formation after auricular reconstruction.Methods The related literature concerning the main surgical methods and influencing factors for the ear elevation by Nataga method and dilated method was reviewed and summarized.Results The ear elevation by Nataga method and dilated method has achieved satisfactory clinical results.Although rapid prototyping technology and tissue engineering have developed rapidly,it is still some time before a beautiful and practical cranioauricular angle can be reconstructed.Conclusion The surgical programs for ear elevation by Nataga method and dilated method have been constantly improved in recent years,which provides a great deal of reference for obtaining a beautiful and practical cranioauricular angle.
基金Ethical approval was given by the medical ethics committee of Kowloon Central/Kowloon Eas(KCKE SOP 001F6a).
文摘Objective To establish the local data on the growth of ear in Hong Kong children and provide a reference for the timing of reconstruction in unilateral microtia.Methods We reviewed case notes of paediatric patients up to 18 years of age who had attended our Ear,Nose and Throat Out-patient Clinic from March to November 2017.We recorded the pinna length of these patients and that of their parents,compared the patients’ear length against that of their parents,and investigated any discrepancy of pinna.Results We recruited 226 local individuals(139 males and 87 females).The patients were divided into different age groups.The means of ear length of patients were compared with the mean length of pinna of their parents.Data of boys and girls are analyzed separately.Boys at 7-8 years old achieved 87.33%and 93.54%of their fathers’and mothers’ear length respectively.Girls at 7-8 years old achieved 83.00%and 90.80%of their fathers’and mothers’ear length respectively.Moreover,the average ratio of the length of left and right ear ratio is 97.3%in all groups of children.Conclusions In Hong Kong children,at the age of 7-8 the ear approaches the size of normal adult ear and is the feasible age with less asymmetry after reconstruction of the microtia.
