Efficacy Analysis of Ear Molding Correction for Congenital Auricular Deformities at Different Ages.

IF 2.8 3区 医学 Q2 SURGERY
Lu Liu, Min Liu, You Xu, Lang Xu
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Abstract

Objective: To compare the clinical outcomes of ear molding correction in children with congenital auricular deformities at different ages, explore the optimal timing and latest time window for ear molding correction.

Methods: This retrospective study analyzed data from children with congenital auricular deformities who underwent ear molding correction in our department from January 2021 to June 2024. Children were divided into four groups based on their ages at initial treatment: Group A (≤21 days) , Group B (22-42 days) , Group C (43-90 days) , and Group D (≥91 days) . The success rate, treatment duration, and incidence of complications were compared among the four groups.

Results: The success rates in Groups A, B, and C were comparable and significantly higher than in Group D (p < 0.05). Notably, the success rate for correcting cryptotia was 100% across all groups. Treatment duration was shortest in Group A (p < 0.05), while there were no statistically significant differences in complication rates among the four groups (p > 0.05).

Conclusion: The optimal timing for ear molding correction in children with congenital auricular deformities is within 21 days after birth, ensuring the highest efficiency and shortest treatment duration. If this optimal period is missed, correction within 90 days remains a viable option. Children with cryptotia older than 90 days still respond well to corrective treatment, but the latest age for treatment has not yet been determined.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

不同年龄先天性耳廓畸形耳模矫正的疗效分析。
目的:比较不同年龄先天性耳廓畸形患儿耳型矫正的临床效果,探讨耳型矫正的最佳时机和最晚时间窗。方法:回顾性分析我科2021年1月至2024年6月行耳模矫正术的先天性耳廓畸形患儿资料。根据患儿初始治疗年龄分为4组:A组(≤21天)、B组(22-42天)、C组(43-90天)、D组(≥91天)。比较四组患者的成功率、治疗时间、并发症发生率。结果:A、B、C组手术成功率与D组比较,差异均有统计学意义(p < 0.05)。值得注意的是,各组纠正隐盲的成功率均为100%。A组治疗时间最短(p < 0.05),四组并发症发生率比较,差异无统计学意义(p < 0.05)。结论:先天性耳廓畸形患儿耳型矫正的最佳时机为出生后21天内,可保证最高的疗效和最短的治疗时间。如果错过了这个最佳时期,在90天内进行调整仍然是一个可行的选择。超过90天的隐隐症儿童对矫正治疗仍反应良好,但最晚的治疗年龄尚未确定。证据等级iv:本刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述,请参阅目录或在线作者说明www.springer.com/00266。
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
CiteScore
4.40
自引率
25.00%
发文量
479
审稿时长
3 months
期刊介绍: Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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