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

Kim, Jeong-Hoon; Jo, Taehee; Choi, Jaehoon; Kim, Junhyung; Jeong, Woonhyeok

doi:10.3390/jcm11195751

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…According to some authors, if the correction starts early, right after birth, can give excellent results and thus the child will not be subjected to surgery and to the socio-psihological pressures from the environment [9,10]. If this period is missed, then the operation should be done as soon as possible, before starting school, in order to save the child from the pressures of the environment, especially from her friends at school.…”

Section: Discussionmentioning

confidence: 99%

Correction of Constricted Ear – Case Report

Damjanoska Krstikj,

Rajkovska Kimovska,

Krsteska

et al. 2024

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Introduction. Congenital deformities of the outer ear are common; reported incidence are from 1:6000 to 1:6830 newborns. Multitude of corrective procedures are described in the literature. Purpose of the case study. The adequate surgical treatment of the congenital constricted ear remains a challenge. Selected tailor made approach should be employed on case by case basis, thus, in this study we present our case of moderate constricted ear and the used surgical procedures done under general anesthesia, as well as the outcome of the treatment. Case report. A 6 year old girl presented in pediatric and plastic surgery department with complaint of right ear deformity from birth and additional psychological effects such as increased difficulty in social integration and lack of self- confidence. On clinical examination, we considered as constricted ear grade IIB by Tanzel. Two separate procedures under general anesthesia were done. In the first procedure, advancement of the helix and otoplasty was performed; an effective expansion, of about 1 cm in the length of the pinna was obtained. In the second procedure, about 0.5 cm expansion of the helix was performed, and also the breadth of the pinna. Conclusion. In our case, combination of Mustardé suture, helix advancement and helix cartilage graft in moderate constricted ear were a useful surgical option, producing aesthetically good results in a simple and effective way.

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Section: Discussionmentioning

confidence: 99%

Correction of Constricted Ear – Case Report

Damjanoska Krstikj,

Rajkovska Kimovska,

Krsteska

et al. 2024

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“…The health department is supposed to propel the inclusion of treatment expenditure into the national medical security system and break down therapy barriers caused by cost. What is more, several simpler and higher cost-effective correction techniques (27,28) can also be introduced to reduce the cost of treatment. Feeding patterns had an impact on the treatment outcome, and breastfeeding led to superior outcomes (21).…”

Section: Discussionmentioning

confidence: 99%

Nonsurgical molding of congenital auricular deformities and analysis of the correction outcomes: A single-center, retrospective study in east China

Liu

Zhang

et al. 2022

Front. Pediatr.

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ObjectiveOur research was carried out to provide a clinical reference for the application of nonsurgical therapy in newborns with congenital auricular deformities in east China.MethodsA retrospective study of consecutive newborns using noninvasive ear molding was conducted in Hangzhou in east China's Zhejiang Province. The demographic and clinical information and photographs of the ear before and after treatment were taken. The diagnosis of each auricular deformity was identified, and the treatment outcome was evaluated.ResultsA total of 224 patients including 356 congenital ear anomalies received noninvasive ear molding. The median age of infants to initiate treatment was 39.5 days. The median treatment duration was 42.5 days. The median follow-up time was 137.0 days. The overall treatment effective rate of all infants with nonoperative ear molding was 92.1%, and mild skin irritation and ulceration occurred in 34 ear deformities (9.6%). It confirmed that the treatment efficiency was satisfactory and the complication rate was still acceptable despite the late initiation treatment of neonates in east China. Further analysis of treatment outcomes among three subgroups of infants (the ages to initiate the ear molding were respectively less than or equal to 28, 29–56, and more than 57 days) revealed that initiation treatment was significantly related to the treatment results and the earlier the initiation treatment, the higher the effective rate and the lower the complication incidence.ConclusionOur study hints that newborns in east China may have a longer period for correction. What is more, although our study affirmed a longer period for noninvasive molding, early diagnosis and treatment are still recommended to improve therapy efficiency and reduce treatment duration and complications.

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Investigation of morphometric features of auricle in newborns and etiology of auricle deformity

Zhou,

Peng,

Ding

et al. 2024

Pediatric Investigation

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ImportanceThe diagnosis of congenital auricular deformity often relies on the clinical experience of clinicians, leading to a high incidence of misdiagnosis and missed diagnosis due to the lack of quantitative diagnostic criteria.ObjectiveTo characterize auricle morphology in newborns from southern China and explore the underlying etiology of congenital auricle deformity.MethodsA total of 636 neonates (1272 ears) with less than seven days old were included. The auricles of each infant were measured and photographed. The relationship between maternal factors and the occurrence of congenital auricle deformity was analyzed.ResultsThe incidence of auricular deformity in southern China was 79.87%. Helical rim deformity and mixed deformity had the highest incidence (17.30% each), while cryptotia had the lowest incidence (0.31%). Among mixed deformities, lop ear with conchal crus ear was the most common (22.73%). Each type of auricle deformity had distinct measurement indicators: the vertical distance of cephalo‐auricular was 73.97% longer and cephalo‐superaurale was 70.00% longer in protruding ears compared to normal auricle; the vertical distance of cephalo‐auricular was 10.96% less in lop ears, 15.07% less in conchal crus ears, and 41.1% longer in cup ears; the distance between helix and antihelix was 22.35% less in constricted ear, 12.94% greater in helical rim deformity, and 43.53% greater in Stahl's ear. Family history of hereditary ear deformity and paternal smoking were significant factors associated with ear deformity in southern China.InterpretationThe incidence of auricle deformities is high in southern China, with significant differences in the morphometric structures of different auricle types.

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

Cited by 5 publications

References 21 publications

Correction of Constricted Ear – Case Report

Correction of Constricted Ear – Case Report

Nonsurgical molding of congenital auricular deformities and analysis of the correction outcomes: A single-center, retrospective study in east China

Investigation of morphometric features of auricle in newborns and etiology of auricle deformity

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