Identification of congenital auricular deformities during newborn hearing screening allows for non-surgical correction: A Mayo Clinic pilot study

Petersson, Rajanya S.; Recker, Chelsey; Martin, J; Driscoll, Colin L. W.; Friedman, Oren

doi:10.1016/j.ijporl.2012.06.011

Cited by 28 publications

(32 citation statements)

References 23 publications

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“…First, the outcome assessment was done using subjective measurements. To date, there is no objective tool for the assessment of ear deformities, and most previous studies used subjective measurements [71824]. To overcome this limitation, we assessed both the physician's and caregiver's rating scales and compared both measurements which showed no statistically significant difference.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Ear Splint Therapy for Ear Deformities

Woo

Park

et al. 2017

Ann Rehabil Med

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ObjectiveTo present our experience with ear splint therapy for babies with ear deformities, and thereby demonstrate that this therapy is an effective and safe intervention without significant complications.MethodsThis was a retrospective study of 54 babies (35 boys and 19 girls; 80 ears; age ≤3 months) with ear deformities who had received ear splint therapy at the Center for Torticollis, Department of Physical Medicine and Rehabilitation, Ajou University Hospital between December 2014 and February 2016. Before the initiation of ear splint therapy, ear deformities were classified with reference to the standard terminology. We compared the severity of ear deformity before and after ear splint therapy by using the physician's ratings. We also compared the physician's ratings and the caregiver's ratings on completion of ear splint therapy.ResultsAmong these 54 babies, 41 children (58 ears, 72.5%) completed the ear splint therapy. The mean age at initiation of therapy was 52.91±18.26 days and the treatment duration was 44.27±32.06 days. Satyr ear, forward-facing ear lobe, Darwinian notch, overfolded ear, and cupped ear were the five most common ear deformities. At the completion of therapy, the final physician's ratings of ear deformities were significantly improved compared to the initial ratings (8.28±1.44 vs. 2.51±0.92; p<0.001). There was no significant difference between the physician's ratings and the caregiver's ratings at the completion of ear splint therapy (8.28±1.44 vs. 8.0±1.61; p=0.297).ConclusionWe demonstrated that ear splint therapy significantly improved ear deformities in babies, as measured by quantitative rating scales. Ear splint therapy is an effective and safe intervention for babies with ear deformities.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Ear Splint Therapy for Ear Deformities

Woo

Park

et al. 2017

Ann Rehabil Med

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“…There is a significant association with higher levels of teasing, inferior cognitive performance, social avoidance, immaturity, and diminished self-confidence in these children and adolescents as well as a societal pressure on parents to seek surgical treatment for their children. 3,4,19 Otoplasty is typically delayed until after the patient is 5 or 6 years old to avoid deformity recurrence and the need for successive procedures. 16,20 Although new literature suggests that surgery in patients younger than 3 years of age has similar recurrence rates to those performed in older children, there is developing concern regarding patient autonomy and informed consent in younger children undergoing invasive surgery with a primarily cosmetic purpose.…”

Section: Methods Of Nonsurgical Intervention Advantagesmentioning

confidence: 99%

“…Recent literature suggests training audiologists and audiology technicians to thoroughly examine and recognize common ear deformations during newborn hearing screens. 4 Any nonhypoplastic auricular deformity patient is a potential candidate for nonsurgical correction. 17…”

Section: Auricular Deformationsmentioning

confidence: 99%

“…2 Although it is best to begin management as soon as a deformity is identified, some advocate holding intervention for 3 days to allow intrinsic auricular muscle action and possible spontaneous correction. 4,6,7,15 Premature infants may require extended periods of intervention and the age of effective nonsurgical auricular correction should be extended in congruence with weeks of prematurity. 11 Injectable chondroplasty is a potential new procedure that would allow nonsurgical management far past the ideal 3-month period, but additional studies are necessary to prove its safety and efficacy in practice.…”

Section: Timingmentioning

confidence: 99%

“…Early intervention avoids psychosocial issues that may happen as the child reaches school age, but necessitates early diagnosis of auricular deformations. 3,4…”

mentioning

confidence: 99%

See 2 more Smart Citations

Newborn Ear Deformities: Early Recognition and Novel Nonoperative Techniques

Schultz

Guillen

Maricevich

2017

Seminars in Plastic Surgery

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Congenital auricular anomalies are common sources of aesthetic concern and psychosocial distress for both children and their parents. Only one-third of these anomalies self-correct, leaving a large need for acceptable corrective methods. Otoplasty is often the standard treatment; however, newer nonsurgical methods, including splinting and molding in the neonatal period, have shown favorable results without the complications of surgical intervention and with the advantage of early intervention. These treatment options have not yet been widely adopted in Western countries due to delayed diagnosis of auricular deformities and confusion regarding treatment indications and technique.

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