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Cited by 49Reconstructive Facial Surgery TechniquesCongenital Ear and Nasal AnomaliesCraniofacial Disorders and Treatments

Nonsurgical correction of congenital ear abnormalities in the newborn: case series

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Smith, WG, Toye, JW, Reid, A, Smith, RW·2005·Paediatrics & Child Health
DOI 10.1093/pch/10.6.327PMC PMC2722971
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Abstract

OBJECTIVE: To determine whether a simple, nonsurgical treatment for congenital ear abnormalities (lop-ear, Stahl's ear, protruding ear, cryptotia) improved the appearance of ear abnormalities in newborns at six weeks of age. METHODS: This is a descriptive case series. All newborns with identified abnormalities were referred by their family physician to one paediatrician (WGS) in a small level 2 perinatal centre. The ears were waxed and taped in a standard manner within 10 days of birth. Pictures were taken before taping and at the end of taping (one month). All patients and pictures were assessed by one plastic surgeon (JWT) at six weeks of age and scored using a standard scoring system. A telephone survey of the nontreatment group was conducted. RESULTS: The total number of ears assessed was 90. Of this total, 69 ears were taped and fully evaluated in the study (77%). The refusal rate was 23%. In the treatment group, 59% had lop-ear, 19% had Stahl's ear, 17% had protruding ear and 3% had cryptotia. Overall correction (excellent/improved) for the treatment group was 90% (100% for lop-ear, 100% for Stahl's ear, 67% for protruding ear and 0% for cryptotia). In the nontreatment (refusal) group, 67% of the ears failed to correct spontaneously. No complications were recognized by the authors or parents by six weeks. The percentage of newborns in one year in the perinatal centre with recognized ear abnormalities was 6% (90 of 1600). CONCLUSIONS: A simple, nonsurgical treatment in a Caucasian population appeared to be very effective in correcting congenital ear abnormalities with no complications and high patient/parent satisfaction.

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  • The self-correction rate of more than 50% in the Japanese population is higher than the figure of 30% reported in Caucasians.

    “This self-correction rate of more than 50% in the Japanese population is higher than the figure of 30% that has been reported in Cacausians [17].”

    From Correction of Congenital Auricular Deformities Using the Ear-Molding Technique (2016) · cites this paper as [17]

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Research works printed but not linked: 1

  1. [23]Hirose T, Satoh R, Matsuo K, et al. Studies on the shape of the auricle –changes of the shape of the auricle after birth. In: Maneksha RJ, editor. Transactions of the 9th International Congress of Plastic and Reconstructive Surgery; New Delhi: Tata McGraw Hill; 1983. [Google Scholar]

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Authors
Smith, W., Toye, J., Reid, A., & Smith, R.
Affiliations
  • Soldiers' Memorial Hospital (CA)
  • University of Toronto (CA)
Corresponding author
Smith, RW
Venue
Paediatrics & Child Health
Publisher
Oxford University Press (OUP)
Published
2005-07-01
Volume
10
Issue
6
Pages
327-331
ISSN
  • 1205-7088 (ISSN-L)
  • 1918-1485
DOI
10.1093/pch/10.6.327
PMC
PMC2722971
OpenAlex
W80929004
Cited by
49
References
24
Citations by year
2026: 2 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 1 · 2017: 5 · 2016: 3 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 2
FWCI
0.32
Type
journal article
Language
en
Open access
Locations
  • Paediatrics & Child Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
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
conservative treatment, lop ear, protruding ears, cryptotia, neonates, perinatal care

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