耳廓矫治器治疗小儿先天性耳廓形态畸形的临床研究

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摘要目的观察耳廓矫治器治疗小儿先天性耳廓形态畸形的临床效果。方法选取2018年5月至2019年5月江西省儿童医院应用耳廓矫治器治疗的32 例婴幼儿先天性耳形态畸形患儿，按Byrd 分型包括隐耳14 例，垂耳8 例，杯状耳2 例，招风耳2 例，耳轮畸形4 例，混合畸形2 例。按年龄将入选患儿分为小年龄组（0～3 个月）与大年龄组（3～6 个月），各16 例。治疗前后拍摄照片，周期为2～4 周。观察患儿佩戴后的疗效。结果疗程结束后由家属和医师共同评价耳廓形态，分为优（同正常耳）、良（基本正常）、差（无变化或轻微改善）。所有耳廓畸形均改善，评估为优者29 例（90%），良者3 例（10%）。其中有2 例患儿出现皮肤湿疹；1 例患儿皮肤有小溃疡，予红霉素软膏外用3 d 好转，其余患儿均未见明显并发症。1年后复查未见反弹。结论耳廓矫治器无创治疗耳廓形态畸形的效果明显，且越早实施矫正效果越好，不良反应发生率低，佩戴时间短，可以避免后期手术治疗和心理危害。耳廓矫治器操作简便，易于推广，可成为治疗耳形态畸形的首选治疗方案。

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	邹筠
	袁华
	付荣华
	金平亮

关键词 ：先天性耳廓形态畸形, 婴幼儿, 耳廓矫治器, 无创治疗

Abstract：Objective To observe the clinical effect of auricle appliances in the treatment of congenital auricle deformities in children. Methods A total of 32 infants with congenital auricle deformities treated with auricle appliances in the Jiangxi Provincial Children′s Hospital from May 2018 to May 2019 were selected. According to the Byrd classification,there were cryptotia (n=14), lop ears (n=8), cup ear (n=2), protruding ears (n=2), helix deformities (n=4), and mixed deformities (n=2). They were divided into the younger group (0-3 months) and the elder group (3-6 months) according to age, with 16 cases in each group. Photographs were taken before and after treatment, with a period of 2 to 4 weeks. The curative effects of children after wearing were observed. Results After the treatment, the auricle morphologies were evaluated by family members and doctors jointly, which were divided into excellent (same as normal ears), good (basically normal), and poor (no change or slight improvement). All auricle deformities were improved, 29 cases (90%) were evaluated as excellent, and 3 cases (10%) were good. Two of the children had skin eczema, and one had small skin ulcers, which improved 3 days after topical application of erythromycin ointment. No obvious complications were observed in the remaining ears. After 1 year, there was no recurrence in the re-examination. Conclusion Auricle appliances have an obvious effect on non-invasive treatment of auricle deformities, and the earlier the correction is implemented,the better the effect is. The auricle appliances have a low incidence of adverse reactions and a short wearing time,which can avoid later surgical treatment and psychological hazards. The auricle appliances are easy to operate and promote, becoming the first choice for the treatment of auricle deformities.

Key words： Congenital auricle deformities Infants and young children Auricle appliances Non-invasive treatment

基金资助:江西省卫生计生委科技计划项目（20195548）。

引用本文:

邹筠；袁华；付荣华；金平亮. 耳廓矫治器治疗小儿先天性耳廓形态畸形的临床研究[J]. 中国当代医药, 2022, 29(9): 77-79转90.
ZOU Yun；YUAN Hua；FU Ronghua；JIN Pingliang. Clinical study of auricle appliances in the treatment of congenital auricle deformities in children. 中国当代医药, 2022, 29(9): 77-79转90.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I9/77

[1]	简炳权，杨海弟，郑亿庆，等.耳模矫正器治疗先天性耳廓形态畸形疗效[J].中国耳鼻咽喉头颈外科，2017，24（8）：391-395.
[2]	LiangXQ，HeBR.Congenitalasymmetriccryingfaciessydrome：a case report[J].Medicine （Baltimore），2018，97（31）：e11403.
[3]	苏钰，丁志伟，马坚凌.新生儿耳廓畸形的早期认识和无创矫治[J].中华耳科学杂志，2018，13（1）：38-41.
[4]	周智英，付勇，毕静，等.耳矫正模型对小儿先天性耳廓畸形的近期应用研究[J].临床耳鼻咽喉头颈外科杂志，2017，31（12）：58-61.
[5]	Byrd HS，Langevin CJ，Ghidoni LA.Ear molding in newborn infants with auricular deformities[J].Plast Reconstr Surg，2010，126（4）：1191-1200.
[6]	赵伟，李乐，王舒.耳廓矫形器非手术矫正新生儿先天性耳廓畸形的应用及护理[J].中国医疗美容，2020，（4）：81-84.
[7]	齐向东，周捷.先天性耳廓畸形无创矫正技术应用及进展[J].中国医学文摘耳鼻咽喉科学，2017，32（1）：4-8.
[8]	吴胜林，齐向东，赵卉，等.新生儿耳廓形态学分型的初步研究[J].中国临床解剖学杂志，2013，31（4）：384-388.
[9]	Brent B.Microtia repair with rib cartilage grafts：a review of personal experience with 1000 cases[J].Clin Plast Surg，2002，29（2）：257-271.
[10]	杨慧芬，陶跃进，黄彩琴.Earwell 耳廓矫形器治疗先天性耳廓形态畸形的临床效果分析[J].中国医疗美容，2021，11（6）：46-50.
[11]	Kurozumi N，Ono S，Ishida H.Non-surgical correction of a congenital lop ear deformity by splinting with Reston foam[J].Br J Plast Surg，1982，35（2）：181-182.
[12]	周建国，张秋丽，王洪，等.早产儿雌激素水平的检测及临床生理学意义的探讨[J].吉林医学，2011，32（8）：1527-1528.
[13]	高畅源，张晨雷，战军，等.透明质酸酶对兔耳软骨的组织学影响[J].中国美容整形外科杂志，2017，28（8）：495-498.
[14]	王素芳，邓哲，韩富根，等.2-6月龄婴幼儿先天性耳形态畸形无创矫正的效果观察[J].中华耳科学杂志，2019，17（4）：527-531.
[15]	陈玉卿，章恒，庄洁莲，等.耳矫治器无创矫正先天性耳廓形态畸形疗效观察[J].中国美容医学，2021，30（8）：45-48.
[16]	中华医学会耳鼻咽喉头颈外科学分会小儿学组.先天性耳廓畸形耳模矫正技术专家共识[J].中华耳鼻咽喉头颈外科杂志，2019，54（5）：330-333.
[17]	尚海琼，于晓宇，李依琳，等.耳廓无创矫正器治疗先天性耳畸形效果分析[J].浙江医学，2021，43（9）：990-992.
[18]	王敏，赵斯君，谢丽华，等.EarWell 耳廓矫正器治疗先天性耳廓形态畸形的效果评估[J].临床小儿外科杂志，2019，18（5）：400-403.
[19]	郭皓，江平，唐冬生，等.耳廓矫形器在治疗小儿先天性耳廓畸形临床中的应用[J].江西医药，2021，56（5）：603-606.