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:: Volume 5, Issue 2 (4-2016) ::
wjps 2016, 5(2): 139-147 Back to browse issues page
Non-surgical Management of Congenital Auricular Deformities
Ali Akbar Mohammadi , Mohammad Taghi Imani , Sina Kardeh , Mehrab Mohammad Karami , Masoomeh Kherad
Abstract:   (2223 Views)

BACKGROUND

Unlike congenital auricular malformations which are identified by underdevelopment of dermal and cartilaginous tissues, deformed ears are less sever congenital anomalies characterized only by a misshaped pinna structure and can be improved with acceptable cosmetic results and minimal cost through ear molding if treated in early neonatal period. In this study, authors present the first report of using splinting techniques for treatment of deformational auricular anomalies in Iranian children.

METHODS

Our case load consisted of a series of 29 patients (Male=16, Female=13) who were referred to Plastic Surgery Unit of Shiraz University of Medical Sciences from September 2011 to December 2014. Children aged more than 6 moths were excluded. Twenty-nine children affected by various deformities including prominent ears (n=11), lop ears (n=8) and constricted ears (n=10) were treated by splintage as a nonsurgical technique. The mean time of treatment was 13.33±2 weeks.

RESULTS

Eight (27.6%) patients did not complete the treatment. Splinting resulted in excellent or satisfactory results in 12 (57.14%) of treated cases. No improvement was observed at the end of the molding treatment in 9 patients. No complication was observed during the treatment in any of the patients.

CONCLUSION

The nonsurgical molding can be used as an effective approach for achieving natural outcomes and correcting cosmetic abnormalities. Rate of satisfaction is dependent on type of deformity, the neonatal age in which treatment started and also parents’ adherence to treatment methods and principals. Concerning the low rate of complications and high satisfactory results the method can be used instead of surgery in appropriate cases. 

Keywords: Congenital auricular deformities, Non-surgical, Management
Full-Text [PDF 3322 kb]   (1117 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2015/05/29 | Accepted: 2016/02/2 | Published: 2016/02/2
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Mohammadi A A, Imani M T, Kardeh S, Mohammad Karami M, Kherad M. Non-surgical Management of Congenital Auricular Deformities. wjps. 2016; 5 (2) :139-147
URL: http://wjps.ir/article-1-169-en.html


Volume 5, Issue 2 (4-2016) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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