摘要
目的探讨应用耳模对先天性外耳廓畸形进行无创矫正治疗的现状,以及对其治愈率、并发症发生率等进行相关因素的分析。方法 2015年1月至2016年12月期间就诊于广州军区广州总医院整形外科的33例单侧或双侧先天性外耳廓畸形的新生儿采用非手术矫正技术进行治疗。治疗完成后,使用VAS评分量表调查家长的治疗效果满意度。结果共有33例患者(53只患耳)接受耳畸形矫正系统的无创治疗。患者平均年龄为(63.5±41.3)d,平均治疗时间为(41.6±15.4)d,父母的平均满意度为(3.76±0.93)分(总分:5分)。对比治疗前后耳形态数据,除颅耳角外,差异均具有显著性(P<0.05)。结论在本次的研究中,非手术矫正治疗的治愈率良好,治疗满意度随就诊年龄增长而降低。耳模矫正治疗最常见的并发症是局部耳廓皮肤破损。年龄造成的耳软骨硬化和弹性降低在佩戴模具时带来更大的压力,以及增加的佩戴时间均导致了并发症的增加。
Objective To investigate the application of noninvasive correction of congenital auricle deformity,and to analyze the cure rate and the causes of incidence of complications.Methods From January 2015 to December 2016,33 patients with unilateral or bilateral congenital auricle deformities were treated with non-surgical correction technique in the Plastic Surgery Department of Guangzhou General Hospital.When the treatment was completed,the VAS score was used to assess the satisfaction of the patient's parents.Results From January 2015 to December 2016,33 patients(53 ears)received noninvasive treatment of the ear deformity correction system.The average age of the patients was(63.5±41.3)days,the average treatment time was(41.6±15.4)days,and the average parental satisfaction was 3.76±0.93(total score:5 points).Significant difference was observedin auricle morphology data between pre-and post-treatment,except for cranioauricular angle(P<0.05).Conclusions In this study,the cure rate for non-surgical correction was good,however,the satisfaction of treatment decreased with age.The most common complication of treatment was auricle skin damage.The reasons of causing complications maybe the age-induced reduction of ear cartilage elasticity which brought great pressure on the ear,and the increase of the treatment time.
出处
《实用医学杂志》
CAS
北大核心
2017年第15期2489-2492,共4页
The Journal of Practical Medicine
基金
国家自然科学基金面上项目(编号:41271153)
关键词
耳
耳畸形
无创矫正
ear
auricular deformity
noninvasive correction
