A prospective study on non-surgical correction of protruding ears: the importance of early treatment.
Abstract
Objectives Splinting is an elegant method to correct ear deformities in the newborn. However evidence is lacking on the relation between age and efficacy and duration of the treatment. We prospectively studied these questions on protruding ears in 132 babies.Methods A splint in the scaphal hollow was used in combination with tape (Earbuddies(®)). Treatment continued until the desired shape persisted. Results were judged from photographs and mastoid-helical distance was measured.Results In 132 babies 209 ears were treated. Twenty-four patients had no follow-up, 27 stopped therapy for skin irritation and fixation problems. In the remaining patients results were good in 28%, fair in 36%, poor in 36%. Efficacy deteriorates with age; with fair or good results in 66.7% if therapy started before the sixth week. Older children needed to be splinted longer. The anti-helical fold was easier corrected than a deep concha (correction in 69.8% versus 26.8%).Conclusions Considering splinting therapy for protruding ears, a reasonable chance of success can only be offered to parents of children up to six weeks of age. It is favorable if the deformity is mainly due to a flat antihelix.
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Van Wijk et al reported a significant negative correlation between age at initiation and result.
“Van Wijk et al reported a significant negative correlation between age at initiation and result.37”
From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [37]
Byrd et al, Doft et al, and Van Wijk et al tried to implement an additional objective method of assessment by using a ruler to measure prominence.
“Byrd et al, Doft et al, and Van Wijk et al tried to implement an additional objective method of assessment by using a ruler to measure prominence.6,32,37”
From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [37]
Two studies reached a relatively low score.
“Two studies reached a relatively low score.29,37”
From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [37]
Van Wijk et al blamed late initiation of treatment due to ignorance.
“Van Wijk et al blamed late initiation of treatment due to ignorance.37”
From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [37]
In some cases, clinicians were independent or blinded.
“In some cases, clinicians were independent28,30,37 or blinded.31”
From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [37]
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- Authors
- van Wijk, M. P., Breugem, C. C., & Kon, M.
- Affiliations
- University Medical Center Utrecht (NL)
- ORCID
- Venue
- Journal of Plastic, Reconstructive & Aesthetic Surgery
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 65
- Issue
- 1
- Pages
- 54-60
- ISSN
- 1748-6815 (ISSN-L)
- OpenAlex
- W1992244971
- Cited by
- 45
- References
- 36
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 6 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 1 · 2015: 1 · 2013: 4 · 2012: 2
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Plastic Reconstructive & Aesthetic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Keywords
- protruding ears, otoplasty, splinting, non-surgical correction, treatment timing, antihelix, concha, treatment efficacy
- MeSH terms
- Congenital Abnormalities, Age Factors, Child, Preschool, Esthetics, Female, Humans, Infant, Male, Netherlands, Prospective Studies, Splints, Tissue Adhesives, Cohort Studies, Multivariate Analysis, Chi-Square Distribution, Treatment Outcome, Ear Auricle
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