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Cited by 14Reconstructive Facial Surgery TechniquesCraniofacial Disorders and TreatmentsCongenital Ear and Nasal Anomalies

Effectiveness of ear splint therapy for ear deformities.

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Woo, Ji Eun, Park, Yul-Hyun, Park, Eun Ji, Park, Kyu Yong, Kim, Sun Hee, Yim, Shin-Young·2017·Annals of Rehabilitation Medicine
DOI 10.5535/arm.2017.41.1.138PMC PMC5344815
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Abstract

OBJECTIVE: To present our experience with ear splint therapy for babies with ear deformities, and thereby demonstrate that this therapy is an effective and safe intervention without significant complications. METHODS: This was a retrospective study of 54 babies (35 boys and 19 girls; 80 ears; age ≤3 months) with ear deformities who had received ear splint therapy at the Center for Torticollis, Department of Physical Medicine and Rehabilitation, Ajou University Hospital between December 2014 and February 2016. Before the initiation of ear splint therapy, ear deformities were classified with reference to the standard terminology. We compared the severity of ear deformity before and after ear splint therapy by using the physician's ratings. We also compared the physician's ratings and the caregiver's ratings on completion of ear splint therapy. RESULTS: Among these 54 babies, 41 children (58 ears, 72.5%) completed the ear splint therapy. The mean age at initiation of therapy was 52.91±18.26 days and the treatment duration was 44.27±32.06 days. Satyr ear, forward-facing ear lobe, Darwinian notch, overfolded ear, and cupped ear were the five most common ear deformities. At the completion of therapy, the final physician's ratings of ear deformities were significantly improved compared to the initial ratings (8.28±1.44 vs. 2.51±0.92; p<0.001). There was no significant difference between the physician's ratings and the caregiver's ratings at the completion of ear splint therapy (8.28±1.44 vs. 8.0±1.61; p=0.297). CONCLUSION: We demonstrated that ear splint therapy significantly improved ear deformities in babies, as measured by quantitative rating scales. Ear splint therapy is an effective and safe intervention for babies with ear deformities.

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Crossref · 10.5535/arm.2017.41.1.138

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  • 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 [17]

    The Introduction says ear splint therapy has not achieved widespread use mainly because health professionals and the public lack recognition of it. The Discussion notes uncertainty about the maximum age for treatment, but the paper does not identify unfamiliarity with treatment duration or treatable anomaly types as reasons for delayed implementation. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Some studies excluded infants over a certain age due to reports of treatment becoming less efficient, with age exclusion varying from older than 6 weeks to 6 months.

    “Some studies17,29,32,33 excluded infants over a certain age due to reports of treatment becoming less efficient. The age exclusion varied from older than 6 weeks32 to 6 months.29”

    From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [17]

    The Subjects section says this study excluded babies older than 3 months when ear splinting began, not babies older than 6 months. The Discussion describes the first 6 weeks as the optimal treatment period but says the maximum age for offering splinting remains disputable. Thus the source supports an age-based exclusion, but not the six-month cutoff attributed to it; page numbers were unavailable in our copy. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Byrd et al and Woo et al mentioned that 30% of congenital ear anomalies self-correct and believe 15%-20% of all newborns to be possible candidates for ear molding.

    “Byrd et al and Woo et al mentioned that 30% of congenital ear anomalies self-correct and believes 15%–20% of all newborns to be possible candidates for ear molding.6,17”

    From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [17]

    The Introduction reports that 30% of newborn ear deformities self-correct, and the Discussion repeats that estimate. Neither passage supports the claim that 15%–20% of all newborns are candidates for ear molding; the paper describes a selected group of babies with ear deformities, not an estimate for all newborns. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • Treatment largely depended on subjective assessment due to a lack of objective tools.

    “Treatment largely depended on subjective assessment due to a lack of objective tools.17,39”

    From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [17]

  • Congenital ear anomalies can cause lasting psychosocial consequences for children.

    “Congenital ear anomalies have been known to cause lasting psychosocial consequences for children.”

    From Non-surgical Correction of Congenital Ear Anomalies: A Review of the Literature (2020) · cites this paper as [17]

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Authors
Woo, J. E., Park, Y.-H., Park, E. J., Park, K. Y., Kim, S. H., & Yim, S.-Y.
Affiliations
  • Ajou University (KR)
  • The Center for Torticollis, Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon, Korea.
Corresponding author
Yim, Shin-Young
ORCID
Venue
Annals of Rehabilitation Medicine
Publisher
Korean Academy of Rehabilitation Medicine
Published
2017
Volume
41
Issue
1
Pages
138
ISSN
  • 2234-0645 (ISSN-L)
  • 2234-0653
DOI
10.5535/arm.2017.41.1.138
PMC
PMC5344815
OpenAlex
W2593941406
Cited by
14
References
23
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 2
FWCI
0.56
Type
journal article
Language
en
Open access
Licence
Locations
  • Annals of Rehabilitation Medicine (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • AJOU Open Repository (Ajou University) (submittedVersion)
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
ear deformity, infants, congenital ear anomalies, treatment effectiveness, treatment safety

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