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Cited by 3Reconstructive Facial Surgery TechniquesCraniofacial Disorders and TreatmentsCongenital Ear and Nasal Anomalies

Nonsurgical correction of congenital ear deformities: the relationship between age of presentation and regression.

Hazkour, Nissim, Palacios, Jose, Gray, Rachel, Pessino, Kenneth, Rivera, Robin, Bastidas, Nicholas·2022·Journal of Craniofacial Surgery
DOI 10.1097/scs.0000000000008758
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Abstract

PURPOSE: After 3 weeks of age, studies show ear molding to be unsuccessful due to increased regression rates. Studies have not differentiated success rates based on regression severity; partial regressions may be deemed successful and satisfactory by parents. We examined successful ear molding at different ages of presentation by measuring regression severity and parental satisfaction. METHODS: Patients who presented to [blinded for review] for ear molding from January 2017 to October 2018 were eligible for inclusion. Molds were applied on the initial visit and monitored biweekly. Treatment length was based on age, deformity type, and severity. One month after treatment completion, parents completed a satisfaction survey where they assessed regression on a 3-point severity scale. RESULTS: A total of 165 patients were included in this study. Sixty-seven were younger than 3 weeks of age and had an overall correction rate of 95%. The complete correction rate was 80% and only 5% saw complete regression. In the remaining 98, the overall correction rate was 94%, with a 63% complete correction rate. Only 6% saw complete regression. There was no statistical significance in parental satisfaction, perceived improvement, or likelihood to recommend ear molding between age groups. CONCLUSIONS: Regression rates are higher in children older than 3 weeks although not statistically significant. Most regressions were partial and ear molding still significantly corrected most deformities. We suggest that ear molding be offered past 3 weeks of age, with maximum age being dependent on deformity type, as it still leads to high parental satisfaction.

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Crossref · 10.1097/scs.0000000000008758

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19 of 19 references verified0 citation errors · 0 not checkable

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  • Virtually all studies evaluating ear molding efficacy have focused on short-term results, with follow-up limited to less than a few years.

    “Virtually all studies evaluating ear molding efficacy have focused on short-term results, with follow-up limited to less than a few years.7,9–16”

    From Long-term Outcomes of Infant Ear Molding: A 10-year Single-Surgeon Experience (2025) · cites this paper as [13]

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Authors
Hazkour, N., Palacios, J., Gray, R., Pessino, K., Rivera, R., & Bastidas, N.
Affiliations
  • SUNY Downstate Health Sciences University (US)
  • Hofstra University (US)
  • Albany Medical Center Hospital (US)
  • Northwell Health (US)
Corresponding author
Hazkour, Nissim
ORCID
Venue
Journal of Craniofacial Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2022-08-01
Volume
33
Issue
8
Pages
e822-e828
ISSN
1049-2275 (ISSN-L)
DOI
10.1097/scs.0000000000008758
OpenAlex
W4295681288
Cited by
3
References
19
Citations by year
2025: 2 · 2024: 1
FWCI
0.72
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Craniofacial Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
  • Health Sciences › Medicine › Genetics › Congenital Ear and Nasal Anomalies
Keywords
congenital ear deformity, age at presentation, regression analysis, parental satisfaction, treatment success rate, pediatric otolaryngology, treatment timing
MeSH terms
Congenital Abnormalities, Child, Ear, External, Humans, Parents, Surveys and Questionnaires, Splints

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