Nonsurgical Treatment Using Hydrocolloid Dressing Materials for Congenital Auricular Deformities

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  • SAITO Karen
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • SASAKI Kaoru
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • MYOJO Risa
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • AIHARA Yukiko
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • SASAKI Masahiro
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • SHIBUYA Yoichiro
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • OSHIMA Junya
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • SEKIDO Mitsuru
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba

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Other Title
  • ハイドロコロイドドレッシング材を用いた小児耳介変形の矯正法

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Abstract

<p> Nonsurgical treatments using various materials for congenital auricular deformities have been reported. However, there is no established standard treatment and material. At our institution, we use hydrocolloid dressing materials to correct auricular deformities. Herein, we report the effectiveness and safety of this method.<br> We retrospectively investigated pretreatment classification of congenital auricular deformity, age at first visit, duration of treatment, and effect of treatments in 27 ears of 16 cases. Treatment was started at the first visit. To correct the auricular deformities, Duoactive® CGF, a hydrocolloid material, was pasted to fill the scaphoid fossa and the auricle form was fixed. The effect of the treatment was evaluated by five plastic surgeons into three grades.<br> Ears were classified as folded (n=12); constricted (n=7); cryptotia (n=5), and Stahl ear (n=3). Age at the first visit was 1-7 months, and the duration of treatment was 1-13 months. One case of contact dermatitis was observed as a complication. The effects of correction were marked as excellent in 22%, improvement in 56%, and no change in 22% of the cases.<br> Our findings suggest that hydrocolloid dressing materials are an effective option for the treatment of congenital auricular deformity.</p>

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