Neonatal ear molding: timing and technique.
Abstract
The incidence of auricular deformities is believed to be ∼11.5 per 10,000 births, excluding children with microtia. Although not life-threatening, auricular deformities can cause undue distress for patients and their families. Although surgical procedures have traditionally been used to reconstruct congenital auricular deformities, ear molding has been gaining acceptance as an efficacious, noninvasive alternative for the treatment of newborns with ear deformations. We present the successful correction of bilateral Stahl's ear deformity in a newborn through a straightforward, nonsurgical method implemented on the first day of life. The aim of this report is to make pediatric practitioners aware of an effective and simple molding technique appropriate for correction of congenital auricular anomalies. In addition, it stresses the importance of very early initiation of ear cartilage molding for achieving the desired outcome.
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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 [7]
Early intervention maximizes chances of successful normalization of ear shape and avoidance of future surgery.
“It is well understood that early intervention maximizes chances of successful normalization of ear shape with avoidance of future surgery.”
From Long-term Outcomes of Infant Ear Molding: A 10-year Single-Surgeon Experience (2025) · cites this paper as [7]
Ear molding should generally be initiated before 3 weeks of age to optimize efficacy and decrease treatment duration.
“Generally, ear molding should be initiated before 3 weeks of age to optimize efficacy and decrease treatment duration,6–8 although a multitude of factors influence outcomes.”
From Long-term Outcomes of Infant Ear Molding: A 10-year Single-Surgeon Experience (2025) · cites this paper as [7]
Unfamiliarity about the technique, duration, age at initiation, and types of ear anomalies treatable have long been reasons for delay in implementation of ear molding.
“Unfamiliarity about the technique, the duration of treatment, the age at which molding should be initiated, and what kind of ear anomalies can be treated have long been the reasons for a delay in the implementation of this technique.6,17,27–29”
From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [27]
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- Authors
- Anstadt, E. E., Johns, D. N., Kwok, A. C.-M., Siddiqi, F., & Gociman, B.
- Affiliations
- University of Utah (US)
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2016-03-01
- Volume
- 137
- Issue
- 3
- Pages
- e20152831-e20152831
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2301824466
- Cited by
- 44
- References
- 8
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 6 · 2021: 9 · 2020: 8 · 2019: 3 · 2018: 1 · 2017: 4
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (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
- congenital auricular deformities, intervention timing, neonates
- MeSH terms
- Ear Cartilage, Ear Diseases, Ear, External, Follow-Up Studies, Humans, Infant, Newborn, Male, Splints
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