Objective To report use of the Vibrant Soundbridge (VSB) in patients with congenital deformation of the middle and outer ears and investigate its utility in this patient population.Method Four patients with congenital...Objective To report use of the Vibrant Soundbridge (VSB) in patients with congenital deformation of the middle and outer ears and investigate its utility in this patient population.Method Four patients with congenital deformation of middle and outer ears underwent VSB implantation. All were male (aged 3-18 years,average 13.5 years) and operated on the left side.Malformation was bilateral in 3 patients and unilateral in 1 patient. Surgical techniques were modified to accommodate each patient’s unique conditions and needs.The implant site was approached via the facial recess in 3 patients and through a retro-facial nerve route in 1 patient. The VSB implant was connected to either the stapes (2 cases) or the round window (2 cases).Pure tone and speech audiometry results and daily communication capabilities before and after VSB activation were compared.Results The operations were successful in all patients, with no complications. The patient communication level improved significantly after VSB activation. Average air conduction pure tone threshold or conditioned reflex audiometry threshold improved by 35 dB in the 0.25-4 kHz range,from 69 dB HL before VSB activation to 34 dB HL after.The sentence recognition rate in quiet at 65 dB SPL went up to 86% from 0% without VSB for patients with bilateral deformation and remained at 100% for the patient with unilateral deformity. However, for the latter patient, the rate improved to 20% from 0% without VSB in noise (-8 dB SNR).Conclusion VSB is an excellent solution for improving hearing in patients with congenital deformation of middle and outer ears.Operation can be completed and good results can be achieved even in patients with unique conditions and needs.展开更多
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: A common cavity deformity(CCD) is a deformed inner ear in which the cochlea and vestibule are confluent forming a common rudimentary cystic cavity that results in profound hearing loss. There are few studie...Objective: A common cavity deformity(CCD) is a deformed inner ear in which the cochlea and vestibule are confluent forming a common rudimentary cystic cavity that results in profound hearing loss. There are few studies paying attention to common cavity. Our group is engrossed in observing the improvement of auditory and verbal abilities in children who have received cochlear implantation(CI), and comparing these targets between children with common cavity and normal inner ear structure.Material and methods: A retrospective study was conducted in 12 patients with profound hearing loss that were divided into a common cavity group and a control group, six in each group matched in sex, age and time of implantation, based on inner ear structure. Categories of Auditory Performance(CAP) and speech intelligibility rating(SIR) scores and aided hearing thresholds were collected and compared between the two groups. All patients wore CI for more than 1 year at the Cochlear Center of Anhui Medical University from 2011 to 2015.Results: Postoperative CAP and SIR scores were higher than before operation in both groups(p < 0.05), although the scores were lower in the CCD group than in the control group(p < 0.05). The aided threshold was also lower in the control group than in the CCD group(p < 0.05).Conclusion: Even though audiological improvement in children with CCD was not as good as in those without CCD, CI provides benefits in auditory perception and communication skills in these children.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
The Hill's quadric anisotropy yield function and the Barlat-Lian anisotropy yield func- tion describing well anisotropy sheet metal with stronger texture are introduced into a quadric-flow cor- ner constitutive th...The Hill's quadric anisotropy yield function and the Barlat-Lian anisotropy yield func- tion describing well anisotropy sheet metal with stronger texture are introduced into a quadric-flow cor- ner constitutive theory of elastic-plastic finite deformation suitable for deformation localization analy- sis.And then,the elastic-plastic large deformation finite element formulation based on the virtual power principle and the discrete Kirchhoff shell element model including the yield functions and the constitutive theory are established.The focus of the present research is on the numerical simulation of the flange earing of the deep-drawing of anisotropy circular sheets,based on the investigated results, the.schemes for controlling the flange earing are proposed.展开更多
BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yield...BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yields satisfactory outcomes.However,this technique may lead to complications,including ischemia,necrosis,and over-augmentation.The most appropriate management of these complications,including infection,is immediate implant removal and revision surgery once the accompanying inflammation has healed.Occasionally,the patient may experience distress from nasal deformities during the intervention period.CASE SUMMARY Herein,we describe the case of a patient who underwent a secondary dorsal augmentation,with a folded dermofat graft harvested from the inguinal area and simultaneous implant removal,successfully preventing dimpling of the nasal deformity.CONCLUSION This surgical method can effectively manage implant-related complications following augmentation rhinoplasty using a silicone implant and provide satis-factory patient outcomes.展开更多
Many articles report that macrotia is a rare ear deformity, but this is not the reality that we encounter in our service. In accordance with anthropometric studies of the ears, we consider that an aesthetically normal...Many articles report that macrotia is a rare ear deformity, but this is not the reality that we encounter in our service. In accordance with anthropometric studies of the ears, we consider that an aesthetically normal ear measures 6.0 cm in length on the vertical axis and 3.7 cm on the horizontal axis in boys, with ear growth maturing at 13 years of age, and 5.91 cm in length on the vertical axis and 3.37 cm on the horizontal axis, with ear growth maturing at age 12 in girls. When the measurements exceed these averages, we consider that the patient has macrotia. The authors describe a new technique of surgical correction of macrotia that results in an average reduction of 1.7 cm on the vertical axis and 0.8 cm on the diagonal axis with an average surgical time of forty-five minutes, fast learning curve, and little scarring. This technique also allows it to be combined with otoplasty and correction of the lobe length. Because of these items we call the technique High-Performance Macrotia Surgery. Level IV: Evidence is obtained from multiple time series with or without the intervention, such as case studies.展开更多
文摘Objective To report use of the Vibrant Soundbridge (VSB) in patients with congenital deformation of the middle and outer ears and investigate its utility in this patient population.Method Four patients with congenital deformation of middle and outer ears underwent VSB implantation. All were male (aged 3-18 years,average 13.5 years) and operated on the left side.Malformation was bilateral in 3 patients and unilateral in 1 patient. Surgical techniques were modified to accommodate each patient’s unique conditions and needs.The implant site was approached via the facial recess in 3 patients and through a retro-facial nerve route in 1 patient. The VSB implant was connected to either the stapes (2 cases) or the round window (2 cases).Pure tone and speech audiometry results and daily communication capabilities before and after VSB activation were compared.Results The operations were successful in all patients, with no complications. The patient communication level improved significantly after VSB activation. Average air conduction pure tone threshold or conditioned reflex audiometry threshold improved by 35 dB in the 0.25-4 kHz range,from 69 dB HL before VSB activation to 34 dB HL after.The sentence recognition rate in quiet at 65 dB SPL went up to 86% from 0% without VSB for patients with bilateral deformation and remained at 100% for the patient with unilateral deformity. However, for the latter patient, the rate improved to 20% from 0% without VSB in noise (-8 dB SNR).Conclusion VSB is an excellent solution for improving hearing in patients with congenital deformation of middle and outer ears.Operation can be completed and good results can be achieved even in patients with unique conditions and needs.
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: A common cavity deformity(CCD) is a deformed inner ear in which the cochlea and vestibule are confluent forming a common rudimentary cystic cavity that results in profound hearing loss. There are few studies paying attention to common cavity. Our group is engrossed in observing the improvement of auditory and verbal abilities in children who have received cochlear implantation(CI), and comparing these targets between children with common cavity and normal inner ear structure.Material and methods: A retrospective study was conducted in 12 patients with profound hearing loss that were divided into a common cavity group and a control group, six in each group matched in sex, age and time of implantation, based on inner ear structure. Categories of Auditory Performance(CAP) and speech intelligibility rating(SIR) scores and aided hearing thresholds were collected and compared between the two groups. All patients wore CI for more than 1 year at the Cochlear Center of Anhui Medical University from 2011 to 2015.Results: Postoperative CAP and SIR scores were higher than before operation in both groups(p < 0.05), although the scores were lower in the CCD group than in the control group(p < 0.05). The aided threshold was also lower in the control group than in the CCD group(p < 0.05).Conclusion: Even though audiological improvement in children with CCD was not as good as in those without CCD, CI provides benefits in auditory perception and communication skills in these children.
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.
基金NSFC(No.19832020)National Automobile Dynamic Simulation Laboratory of China
文摘The Hill's quadric anisotropy yield function and the Barlat-Lian anisotropy yield func- tion describing well anisotropy sheet metal with stronger texture are introduced into a quadric-flow cor- ner constitutive theory of elastic-plastic finite deformation suitable for deformation localization analy- sis.And then,the elastic-plastic large deformation finite element formulation based on the virtual power principle and the discrete Kirchhoff shell element model including the yield functions and the constitutive theory are established.The focus of the present research is on the numerical simulation of the flange earing of the deep-drawing of anisotropy circular sheets,based on the investigated results, the.schemes for controlling the flange earing are proposed.
文摘BACKGROUND Various surgical techniques have been developed to enhance the nose shapes of Asian patients.Silicone implant augmentation rhinoplasty is widely used because it is relatively easy to perform and often yields satisfactory outcomes.However,this technique may lead to complications,including ischemia,necrosis,and over-augmentation.The most appropriate management of these complications,including infection,is immediate implant removal and revision surgery once the accompanying inflammation has healed.Occasionally,the patient may experience distress from nasal deformities during the intervention period.CASE SUMMARY Herein,we describe the case of a patient who underwent a secondary dorsal augmentation,with a folded dermofat graft harvested from the inguinal area and simultaneous implant removal,successfully preventing dimpling of the nasal deformity.CONCLUSION This surgical method can effectively manage implant-related complications following augmentation rhinoplasty using a silicone implant and provide satis-factory patient outcomes.
文摘Many articles report that macrotia is a rare ear deformity, but this is not the reality that we encounter in our service. In accordance with anthropometric studies of the ears, we consider that an aesthetically normal ear measures 6.0 cm in length on the vertical axis and 3.7 cm on the horizontal axis in boys, with ear growth maturing at 13 years of age, and 5.91 cm in length on the vertical axis and 3.37 cm on the horizontal axis, with ear growth maturing at age 12 in girls. When the measurements exceed these averages, we consider that the patient has macrotia. The authors describe a new technique of surgical correction of macrotia that results in an average reduction of 1.7 cm on the vertical axis and 0.8 cm on the diagonal axis with an average surgical time of forty-five minutes, fast learning curve, and little scarring. This technique also allows it to be combined with otoplasty and correction of the lobe length. Because of these items we call the technique High-Performance Macrotia Surgery. Level IV: Evidence is obtained from multiple time series with or without the intervention, such as case studies.
