Efficacy and Timing of Neonatal Ear Correction Molding

Zhuang, Qianger; Weng, Ning; Zhou, Qi; Wang, Hui; Wu, Yaqin; Chen, Zhengnong; Yu, Dongzhen; Wang, Pengjun; Shi, Haibo

doi:10.1007/s00266-019-01596-y

Cited by 14 publications

(16 citation statements)

References 24 publications

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“…Initiation of ear molding is typically recommended within the first 3 weeks of life given the evidence of optimized correction, shorter duration of treatment, increased tolerability, and decreased rates of recurrence. 3,7,10,11,20 Relatively high rates of parent and guardian satisfaction were achieved in cases presenting at or after 3 weeks of age in our population. Of 47 surveyed parents and guardians in this subset, only five reported dissatisfaction with outcomes.…”

Section: Age-specific Treatment Recommendationsmentioning

confidence: 75%

“…Conchal anomalies have historically been considered difficult to correct with molding because of the inability of the mold to place adequate pressure on the conchal crus, an extra cartilage bar running across the conchal fossa. 5,7,25 In conchal anomalies that cannot be corrected with standard kit retractors, we use a cotton-tip applicator to hold the ear cartilage in the desired position while a dental impression compound is injected into the ear mold (Fig. 3).…”

Section: Discussionmentioning

confidence: 99%

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Evolution of Anomaly-Specific Techniques in Infant Ear Molding: A 10-Year Retrospective Study

Charipova

Rogers

Barra

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: Congenital ear anomalies occur in at least one-third of the population, and less than one-third of cases self-correct. Ear molding is an alternative to surgery that spares operative morbidity and allows for significantly earlier intervention. In this retrospective study, the senior author (S.B.B.) developed a tailored approach to each specific type of ear deformity. The use of modifications to adapt standard ear molding techniques for each unique ear are described. Methods: The authors conducted a retrospective, institutional review board–approved study of 246 patients who underwent ear molding performed by a single surgeon. The procedure reports for each case were reviewed to develop stepwise customization protocols for existing EarWell and InfantEar systems. Results: This review included 385 ears in 246 patients. Patient age at presentation ranged from less than 1 week to 22 weeks. Presenting ear deformities were subclassified into mixed (37.4 percent), helical rim (28.5 percent), prominent (10.6 percent), lidding/lop (9.3 percent), Stahl ear (3.6 percent), conchal crus (3.3 percent), and cupping (2.8 percent). Two patients (0.8 percent) had cryptotia. Deformity subclass could not be obtained for 11 patients (4.5 percent). Recommended modifications to existing ear correction systems are deformity-specific: cotton-tip applicator/setting material (Stahl ear), custom dental compound mold (lidding/lop and cupping), scaphal wire (helical rim), cotton-tip applicator/protrusion excision (prominent), and custom dental compound stent (conchal crus). Conclusions: Presentation of ear anomalies is heterogenous. This 10-year experience demonstrates that the approach to ear molding should be dynamic and customized, using techniques beyond those listed in system manuals to complement each ear and to improve outcomes. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Section: Age-specific Treatment Recommendationsmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Evolution of Anomaly-Specific Techniques in Infant Ear Molding: A 10-Year Retrospective Study

Charipova

Rogers

Barra

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“… A forest plot of the success rate [ 4 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. The classic ear-molding method showed substantial efficacy in the treatment of newborn auricular deformities.…”

Section: Figurementioning

confidence: 99%

“… A forest plot of the complications [ 4 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 17 ]. The classic method showed a lower complication rate than commercial products.…”

Section: Figurementioning

confidence: 99%

Efficacy of Classic Ear Molding for Neonatal Ear Deformity: Case Series and Literature Review

Kim

Choi

et al. 2022

JCM

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Background: We analyzed an original case series of the classic ear-molding method and evaluated the efficacy and complication rate of the method compared to commercial ear-molding products by meta-analysis to draw conclusions on the efficacy of the classic method. Methods: From January 2019 to March 2022, we selected patients who underwent classic ear molding for newborn ear deformities at our institution and reviewed the patient age, treatment time, efficiency and complications. Additionally, the PubMed, EMBASE, and Scopus databases were searched, and meta-analysis (following the PRISMA guidelines) was performed. Results: In the case study, the success rate (excellent and good outcomes) of the classic ear-molding method was 92.6%. The mean age at application and mean duration of application were 5.81 ± 6.09 days and 32.13 ± 7.90 days, respectively. In the systematic review, the classic method group showed a statistically smaller success rate (proportion of 0.79) and statistically smaller complication rate (proportion of 0.05) than the commercial product group (proportion of 0.83). Conclusions: Compared with commercial products, classic ear molding has remarkable and comparable therapeutic effects on neonatal auricular deformities. Additionally, the classic ear-molding method is more suitable for infants with auricular deformities from socioeconomically vulnerable areas. Thus, the classic ear-molding method could be a better option for congenital ear anomalies than commercial ear-molding products.

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“…Retrospective reviews have shown auricular outcomes to be superior and parents to be satisfied with the outcome 97% of the time, as compared with a satisfaction rate of 85% when treatment was initiated more than 3 weeks after birth 18. Additional studies have shown that initiating treatment after 6 weeks of life may require prolonged treatment duration due to lower levels of circulating maternal estrogen and resulting firmness of the auricle 17…”

Section: Common Ear Deformationsmentioning

confidence: 99%

Evaluation and Nonsurgical Treatment of Neonatal Ear Anomalies

Moss

Gargaro

2022

Advances in Neonatal Care

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Background: Inspection and evaluation of the neonate's ears are important parts of the neonatal examination. Neonates display a wide variety of ear size and configuration. In many cases, ear molding techniques obviate the need for future surgical correction. This article provides a review of the fetal ear development and describes common physical examination findings of the newborn's external ear. A case report reviews a successful nonsurgical treatment of a minor ear deformity. Clinical Findings: Newborn infant with near absent to very thin bilateral helical rims and otherwise normal bilateral ear shape and structures. Primary Diagnosis: Bilateral Stahl's ear deformity. Interventions:The EarBuddies product was applied to bilateral ears in an outpatient pediatric plastic surgery clinic. This product remained in place for 8 weeks. Outcomes: The family was pleased with the overall progress and shape of their child's ears. At 18 months of age, the family has no desire to pursue surgical correction of their child's ears. Practice Recommendations: Assessment of the newborn's external ear is part of a routine admission examination. Careful attention to abnormal or unusual findings allows for prompt evaluation and nonsurgical intervention.

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Efficacy and Timing of Neonatal Ear Correction Molding

Cited by 14 publications

References 24 publications

Evolution of Anomaly-Specific Techniques in Infant Ear Molding: A 10-Year Retrospective Study

Evolution of Anomaly-Specific Techniques in Infant Ear Molding: A 10-Year Retrospective Study

Efficacy of Classic Ear Molding for Neonatal Ear Deformity: Case Series and Literature Review

Evaluation and Nonsurgical Treatment of Neonatal Ear Anomalies

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