Long-term Outcomes of Infant Ear Molding: A 10-year Single-Surgeon Experience.

IF 1.5 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI:10.1097/GOX.0000000000006673

Meagan Wu, Ashley E Chang, Alana M Platukus, Benjamin B Massenburg, China N Byrns, Dominic J Romeo, Jinggang J Ng, Jordan W Swanson, Jesse A Taylor, Scott P Bartlett

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引用次数: 0

Abstract

Background: This study assesses long-term results of ear molding and factors associated with improved outcomes.

Methods: Consecutive infants treated by a single surgeon from 2012 to 2023 were reviewed. Photographs before device application (time T0) and within 6 months of device removal (time T1) were collected. Satisfaction responses and long-term photographs (time T2) were collected from parents. Deformity severity at the 3 timepoints was determined by the surgeon and participants recruited via crowdsourcing using a 4-point severity scale.

Results: Of 97 parent respondents, 78 (80%) were satisfied, 15 (16%) were neutral, and 4 (4%) were dissatisfied with the appearance of their child's treated ear(s). Predictors of satisfaction included absence of ear prominence (P = 0.018), InfantEar use (P = 0.002), and longer follow-up (P = 0.047). Thirty patients with 47 deformities had photographs at T1 = 0.2 ± 2.8 years and T2 = 6.5 ± 2.8 years after treatment, which were evaluated by 236 laypeople. From T0 to T1, surgeon severity score decreased from a median of 3.0 [3.0-3.0] to 2.0 [1.0-2.0] (P< 0.001), which further decreased to 1.0 [1.0-2.0] at T2 (P = 0.064). From T0 to T1, layperson severity score decreased from 2.4 [1.8-2.9] to 1.5 [1.2-2.1] (P < 0.001), which further decreased to 1.3 [1.1-1.5] at T2 (P = 0.015). Surgeon and layperson scores differed at T0 (P < 0.001), whereas posttreatment scores were similar (P = 0.958, P = 0.495). Predictors of improved layperson scores at T2 included absence of ear prominence (P < 0.001), earlier treatment (P = 0.043), and longer follow-up (P = 0.005).

Conclusions: The appearance of ear deformities was significantly improved at more than 6 years after treatment and tended to normalize with growth.

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婴儿耳成型的长期结果：10年单一外科医生的经验。

背景：本研究评估耳模的长期结果和与改善结果相关的因素。方法：回顾性分析2012年至2023年由同一位外科医生连续治疗的婴儿。收集了应用设备前（时间T0）和移除设备6个月内（时间T1）的照片。家长满意度问卷和长期照片（时间T2）。3个时间点的畸形严重程度由外科医生和通过众包方式招募的参与者使用4点严重程度量表确定。结果：97名家长中，78名（80%）满意，15名（16%）不满意，4名（4%）不满意治疗后孩子耳的外观。满意度的预测因子包括耳廓不突出（P = 0.018）、使用InfantEar （P = 0.002）和随访时间较长（P = 0.047）。30例47例畸形患者在治疗后T1 = 0.2±2.8年和T2 = 6.5±2.8年拍照，由236名外行人评价。从T0到T1，外科医生严重程度评分中位数从3.0[3.0-3.0]降至2.0 [1.0-2.0](P< 0.001)， T2时进一步降至1.0 [1.0-2.0]（P = 0.064）。从T0到T1，外行人严重程度评分由2.4[1.8 ~ 2.9]降至1.5 [1.2 ~ 2.1](P < 0.001)， T2时进一步降至1.3 [1.1 ~ 1.5]（P = 0.015）。外科医生和外行人的评分在T0时存在差异（P < 0.001），而治疗后的评分相似（P = 0.958, P = 0.495）。T2时外行人评分改善的预测因子包括耳廓无突出（P < 0.001）、早期治疗（P = 0.043）和更长随访时间（P = 0.005）。结论：治疗后6年多耳畸形外观明显改善，随生长逐渐恢复正常。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.