先天耳廓畸形的无创矫正方法

发布时间：2018-03-17 14:24

本文选题：耳　切入点：耳畸形　出处：《实用医学杂志》2017年15期 　论文类型：期刊论文

【摘要】：目的探讨应用耳模对先天性外耳廓畸形进行无创矫正治疗的现状,以及对其治愈率、并发症发生率等进行相关因素的分析。方法 2015年1月至2016年12月期间就诊于广州军区广州总医院整形外科的33例单侧或双侧先天性外耳廓畸形的新生儿采用非手术矫正技术进行治疗。治疗完成后,使用VAS评分量表调查家长的治疗效果满意度。结果共有33例患者(53只患耳)接受耳畸形矫正系统的无创治疗。患者平均年龄为(63.5±41.3)d,平均治疗时间为(41.6±15.4)d,父母的平均满意度为(3.76±0.93)分(总分:5分)。对比治疗前后耳形态数据,除颅耳角外,差异均具有显著性(P0.05)。结论在本次的研究中,非手术矫正治疗的治愈率良好,治疗满意度随就诊年龄增长而降低。耳模矫正治疗最常见的并发症是局部耳廓皮肤破损。年龄造成的耳软骨硬化和弹性降低在佩戴模具时带来更大的压力,以及增加的佩戴时间均导致了并发症的增加。
[Abstract]:Objective to investigate the current situation and cure rate of noninvasive correction of congenital external auricle deformity with ear model. Methods from January 2015 to December 2016, 33 neonates with unilateral or bilateral congenital auricle deformity were treated in Guangzhou General Hospital of Guangzhou military region. Surgical correction techniques for treatment. After the treatment is completed, Results A total of 33 patients (53 ears) received noninvasive treatment of ear malformation correction system. The average age of the patients was 63.5 卤41.3 days, the average treatment time was 41.6 卤15.4 d, and the average full of parents. The mean value was 3.76 卤0.93) (total score: 5). The ear morphological data before and after treatment were compared. There were significant differences except cranioauricular horn (P 0.05). Conclusion in this study, the cure rate of non-operative correction therapy is good. Treatment satisfaction decreases with age. The most common complication of orthodontic treatment is local auricular skin breakage. Age-induced ear cartilage sclerosis and reduced elasticity create greater pressure when wearing molds. And increased wear time all resulted in an increase in complications.
【作者单位】：南方医科大学;广州军区广州总医院整形外科;
【基金】：国家自然科学基金面上项目(编号:41271153)
【分类号】：R764.9

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