新型耳矫治器对小儿先天性耳廓畸形治疗效果分析

发布时间：2018-08-07 11:26

【摘要】：目的:分析新型耳矫治器对小儿先天性耳廓畸形的矫治疗效,以期推广临床应用。方法:使用新型EarWell耳矫治器对29例(38耳)先天性耳廓畸形患儿进行矫治,定期随访,密切观察。矫治前后对比照片由耳科、整形科医生及患儿家属共同评价,根据改善程度分为优、良、差。结果:29例(38耳)先天性耳廓畸形中,招风耳2例,杯状耳7例,垂耳4例,Stahl's耳4例,耳轮畸形4例,conchal crus畸形3例,混合性畸形4例,隐耳5例,结构畸形5例。其中2例患者(2耳)因依从性差于佩戴第3天放弃治疗,其余36例接受矫治耳均有不同程度改善,EarWell矫治器治疗成功率为94%(结果为优或良)。结论:采用EarWell耳矫治器治疗耳廓形态畸形疗效显著,早期即可取得满意效果。Earwell对新生儿耳廓形态畸形及轻度结构畸形的矫治成功率高,疗效取决于耳畸形严重程度以及开始矫治时间。无创矫治开始越早(出生后1周内),效果越好,矫治器佩戴时间越短。
[Abstract]:Objective: to analyze the effect of new ear appliance on congenital auricle malformation in children. Methods: 29 cases (38 ears) of congenital auricle malformation were treated with new EarWell ear appliance. The comparative photos before and after treatment were evaluated by ear department, orthopedics doctor and family members of the child. According to the degree of improvement, they were classified as excellent, good and poor. Results among 29 cases (38 ears) of congenital auricle malformation, there were 2 cases of auricular malformation, 7 cases of goblet ear, 4 cases of vertical ear, 4 cases of conchal crus, 4 cases of mixed malformation, 5 cases of saphenous ear and 5 cases of structural malformation. Two patients (2 ears) gave up the treatment because of poor compliance on the 3rd day. The success rate of earwell appliance was 94% (excellent or good) in the other 36 cases. Conclusion: EarWell ear appliance is effective in the treatment of auricle shape malformation, and satisfactory results can be obtained at the early stage. The success rate of earwell in the treatment of neonatal auricle shape malformation and mild structural malformation is high. The efficacy depends on the severity of the deformity and the time when treatment is initiated. The earlier noninvasive orthodontics (within 1 week of birth), the better the effect, the shorter the appliance wear time.
【作者单位】：首都医科大学附属北京同仁医院耳鼻咽喉-头颈外科;首都医科大学附属复兴医院耳鼻咽喉-头颈外科;
【分类号】：R764.7

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