| ObjectiveThe treatment time,efficacy,and recurrence rate of ear molding in children with congenital auricle deformities of different ages and types were compared to analyze the influence of treatment age and deformity type on the effect of ear molding.MethodsA total of 47 cases(94 ears)with congenital auricle deformities were selected as the research objects,who underwent non-invasive correction of ear molding in the Department of Otolaryngology,the xx Hospital of xx University from July 2021 to March 2022.All the cases met the inclusion criteria.All children were corrected with ear molding and followed up for 3 months after treatment,and photographs of auricle were collected before and after treatment and during follow-up.The effect is divided into 4 grades,which are excellent,good,fair,and poor.Those whose effect is assessed as excellent or good are considered successful treatments.According to the age of treatment,Those aged≤30 days were divided into 1 group(98 cases),and those aged>30 days were divided into 2 groups(25 cases).The effects of different treatment ages on the treatment time,immediate or final success rate,and recurrence rate were compared.Different deformities that coexist in mixed deformities will be matched to different deformity groups to assess the effect easier.It was eventually divided into group A(group of Cup ear),group B(group of Conchal crus),and group C(group of other deformities)according to the different types of deformities.In this study,the groups of different deformities aged≤30 days were compared separately with the groups of different deformities aged>30 days.Those cases aged≤30 days were divided into group A1(9 cases of Cup ear),group B1(16 cases of Conchal crus),and group C1(73 cases of other deformities).Those cases aged>30 days were divided into group A2(6 cases of Cup ear),group B2(9cases of Conchal crus),and group C2(10 cases of other deformities).The treatment time,immediate or final success rate,and recurrence rate of different deformities were compared.ResultsA total of 47 children(94 ears,all bilateral)with congenital auricle deformities who met the inclusion and exclusion criteria were selected as the study subjects,including 21 males and 26 females.The age of the child was 2～76d,Treatment time is 8～43d.68 ears are single deformities and 26 ears are mixed deformities among them.After the different deformities that coexisted in mixed deformities were matched into different groups,a total of 123 single deformities were finally recorded.Group 1(aged≤30 days,98 cases),which average treatment time is 23.94±7.42d,Group2(aged>30 days,25 cases),which average treatment time is 23.76±6.39d.There was no significant difference in treatment time between the two groups(P=0.793,P>0.05).The immediate success rates of the two groups were 97.96%in Group 1 and 96.00%in Group 2,and there was no significant difference between the two groups(P=0.497,P>0.05).The final success rate of the Group 1(88.78%)was higher than that of the Group 2(64.00%),and the difference was statistically significant(P=0.006,P<0.05).The recurrence rates of the two groups were 18.37%in Group 1 and 32.00%in Group 2,and there was no significant difference between the two groups(?~2=2.221,P=0.136).After comparing the different deformities,The treatment time of the three groups treated within 30 days of birth was 25.33±5.64d in group A1,22.88±7.12d in group B1,and24.00±7.12d in group C1.There was no significant difference in treatment time between the three groups(P=0.667,P>0.05).The immediate success rates of the three groups were100.00%(group A1),93.75%(group B1),and 98.63%(group C1).There was no significant difference in immediate success rate between the three groups(P=0.447,P>0.05).After 3months of follow-up,there were statistical differences in the final success rate and recurrence rate of the three groups of different deformities treated early(age≤30 days)(all P<0.05).The final success rate of group A1(11.11%)or group B1(81.25%)was lower than that of group C1(100.00%)(P=0.000,P=0.015),and group A1(11.11%)was lower than that of group B1(81.25%)(P=0.006).The recurrence rate group A1(100.00%)was higher than that in group B1(43.75%)or group C1(2.74%)(P=0.024,P=0.000),and group B1(43.75%)was higher than that in group C1(2.74%)(P=0.000).The treatment time of different deformities treated after 30 days of birth was22.00±4.98d in group A2,23.44±8.31d in group B2,and 25.10±5.43d in group C2.There was no significant difference in treatment time between the three groups(P=0.651,P>0.05).The immediate success rates of the three groups were 100.00%(group A2),88.89%(group B2),and 100.00%(group C2).There was no significant difference in immediate success rate between the three groups(P=0.600,P>0.05).After 3 months of follow-up,the final success rate of group A2(33.33%)or group B2(44.44%)was lower than that of group C2(100.00%)(P=0.024,P=0.033).The difference was statistically significant(all P<0.05).However,there was no significant difference between group A2(33.33%)and group B2(44.44%)(P=1.000,P>0.05).There was no significant difference in recurrence rate between group A2(66.67%),group B2(22.22%),and group C2(20.00%)(P=0.149,P>0.05).Conclusion1.The immediate effect of congenital auricle deformities at the end of ear molding was good.It has not been seen that treatment age and deformity type significantly affect the treatment time and immediate effect of ear molding.There were no significant differences in treatment time and immediate success rate of congenital auricle deformity at different treatment ages and different deformity types.2.The treatment age significantly affects the final effect of ear molding.Early non-invasive correction treatment of ear molding for congenital auricle deformities is still recommended.The earlier the treatment,the better the final effect.Auricle deformities treated after 30 days of birth had significantly worse final effects than those treated earlier(aged≤30days).3.The final effect of ear molding varies depending on the type of deformity.The final effect was different of different auricle deformities after the follow-up,and the final effect of Cup ear and Conchal crus was worse than other deformities.4.Treatment age did not have a significant effect on the recurrence rate after the ear molding.The recurrence rate of cases treated after 30 days of birth(32.00%)was slightly higher than that of cases treated within 30 days of birth(18.37%),but the difference in recurrence rate between the two groups was not statistically significant.5.The recurrence after ear molding is mainly related to the type of deformity,and the recurrence rate is different of different deformities.Even if the Cup ear and Conchal crus are treated in the early stage(≤30 days),the recurrence rate is significantly higher than that of other deformities. |
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