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Evaluation and Nonsurgical Treatment of Neonatal Ear Anomalies: A Case Report
Advances in Neonatal Care ( IF 1.7 ) Pub Date : 2022-08-01 , DOI: 10.1097/anc.0000000000000999
Colleen Reilly Moss 1 , Clare Gargaro
Affiliation  

Background: 

Inspection and evaluation of the neonate's ears are important parts of the neonatal examination. Neonates display a wide variety of ear size and configuration. In many cases, ear molding techniques obviate the need for future surgical correction. This article provides a review of the fetal ear development and describes common physical examination findings of the newborn's external ear. A case report reviews a successful nonsurgical treatment of a minor ear deformity.

Clinical Findings: 

Newborn infant with near absent to very thin bilateral helical rims and otherwise normal bilateral ear shape and structures.

Primary Diagnosis: 

Bilateral Stahl's ear deformity.

Interventions: 

The EarBuddies product was applied to bilateral ears in an outpatient pediatric plastic surgery clinic. This product remained in place for 8 weeks.

Outcomes: 

The family was pleased with the overall progress and shape of their child's ears. At 18 months of age, the family has no desire to pursue surgical correction of their child's ears.

Practice Recommendations: 

Assessment of the newborn's external ear is part of a routine admission examination. Careful attention to abnormal or unusual findings allows for prompt evaluation and nonsurgical intervention.



中文翻译:

新生儿耳部异常的评估和非手术治疗:病例报告

背景: 

新生儿耳朵的检查和评估是新生儿检查的重要组成部分。新生儿的耳朵大小和结构各不相同。在许多情况下,耳模成型技术消除了未来手术矫正的需要。本文回顾了胎儿耳朵的发育,并描述了新生儿外耳的常见体检结果。一份病例报告回顾了轻微耳朵畸形的成功非手术治疗。

临床结果: 

新生儿双侧螺旋边缘几乎不存在或非常薄,双侧耳朵形状和结构正常。

初步诊断: 

双侧斯塔尔耳畸形。

干预措施: 

EarBuddies 产品被应用于儿科整形外科门诊的双侧耳朵。该产品可保持 8 周。

结果: 

家人对孩子耳朵的整体进步和形状感到满意。孩子 18 个月大时,家人并不想对孩子进行耳朵矫正手术。

实践建议: 

新生儿外耳评估是常规入院检查的一部分。仔细注意异常或不寻常的发现可以进行及时评估和非手术干预。

更新日期:2022-08-01
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