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Q: non-surgical treatments for protruding ears in infants. ( Answered,   0 Comments )
Question  
Subject: non-surgical treatments for protruding ears in infants.
Category: Health > Alternative
Asked by: yanquiprin-ga
List Price: $10.00
Posted: 02 Jul 2003 21:22 PDT
Expires: 01 Aug 2003 21:22 PDT
Question ID: 224584
I'm interested in finding out about non-surgical treatments for
protruding ears in infants.  This would be an alternative to otoplasty.
Answer  
Subject: Re: non-surgical treatments for protruding ears in infants.
Answered By: bobbie7-ga on 02 Jul 2003 23:10 PDT
 
Hello yanquiprin,  


Here are the results of my search for non-surgical treatments for
protruding ears in infants.


Early nonsurgical correction of congenital auricular deformities.

This study states that all treated auricles (including prominent ears
in infants) were improved and there were no complications related to
the treatment

“The authors describe their experience using early splinting for
congenital auricular deformities. Fifty-two newborn infants with lop,
prominent, Stahl's, and constricted ears referred to us by the
neonatal department staff were enrolled in this study. Putty Soft, a
vinyl polysiloxane impression material, has been used for early
molding of the auricles. Surgical tapes were used for the fixation of
the mold and to fix the auricle to the scalp. The results were
evaluated by one of the parents and by a layperson (medical student) 6
months after completion of the procedure. The above-described early
splinting procedure was applied onto 92 auricles of 52 newborn infants
aged 1 to 10 days, mostly around day 3. The mean treatment time was
6.8 weeks. All treated auricles were improved, 87 percent were rated
as excellent improvement, and there were no complications related to
the treatment.”

Conclusion:

“The authors conclude that early splinting of deformed auricles should
be offered to parents of affected children, and the awareness of this
procedure by neonatologists, pediatricians, and nursery staff should
be increased.”

Source:

Plast Reconstr Surg. 2002 Mar;109(3):907-13; discussion 914-5.  
Ullmann Y, Blazer S, Ramon Y, Blumenfeld I, Peled IJ.
Department of Plastic and Reconstructive Surgery, Rambam Medical
Center, Haaliah St. 8, Haifa, Israel. y_ullman@rambam.health.gov.il

PubMed indexed for MEDLINE
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11884806&dopt=Abstract



===============================================


Molding therapy for infants with deformational auricular anomalies.
Tan ST, Abramson DL, MacDonald DM, Mulliken JB.

Division of Plastic Surgery, Children's Hospital, Harvard Medical
School, Boston, MA


“Since neonatal auricular cartilage is extremely pliable, we used
early splinting to correct deformational ear anomalies. Splints were
constructed of leadfree, soft soldering wire threaded into
polyethylene tubing and held in place with Steri-Strips. From August
1995 through February 1996 we treated 19 infants with 32 deformed
auricles: 10 infants were male and 9 were female, ranging in age from
1 day to 10 weeks. Thirteen infants had both ears affected. There were
8 prominent ears, 23 lop ears, 2 Stahl's ears, and 1 infant with an
inverted concha.

Results:

“For prominent ears, the helical-mastoid distance decreased from an
average of 16.8 to 12.2 mm, after an average of 13 weeks of
splinting.”

Ann Plast Surg. 1997 Mar;38(3):263-8.  

PubMed - indexed for MEDLINE
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9088465&dopt=Abstract


===============================================


From eMedicine:

Nonsurgical otoplasties in neonates and infants 

Author: David W Furnas, MD, Clinical Professor Emeritus, Department of
Surgery, Division of Plastic and Reconstructive Surgery, University of
California at Irvine

“Matsuo reported successful nonsurgical treatment of all protruding
ears and other deformities in neonates. He described a molding device
of malleable plastic material that he secured to the ear with
Steri-Strips. Commencement of treatment as early as possible is a key
to success.”

“Matsuo commonly begins treatment in the newborn nursery. In the
author’s limited experience, this method has proved excellent if
commenced within the first 2-3 months of life. A molding armature,
formed with a core of thin solder or copper wire and padded with a
wrapping of 3M Microfoam tape or plastic tubing, is bent to fit the
ear and is shaped to press the deformed areas into a normal shape.”

eMedicine.com, Inc.
http://www.emedicine.com/plastic/topic454.htm#section~treatment


===============================================


From the American Medical Association Science News Update: 

The AuriMethod is a non-surgical technique to correct prominent ears
that can be used in infants.

“A nonsurgical technique to correct prominent ears has been shown to
be effective in a small study of children with prominent ears,
according to an article in the December issue of The Archives of
Otolaryngology, a journal of the American Medical Association.”

(..)

“Michael Miravet Sorribes, M.D., of Gentofte University Hospital in
Hellerup, Denmark, and colleagues used a technique called the "Auri
method" to correct prominent ears to 56 ears on 44 children between
the ages of three months and 5.5 years. This method uses a custom made
clip applied to the outer ear at night and an invisible shaping
adhesive strip applied to the back of the ear during the day.”

(..)

“The children wore the ear clip for an average of 4.3 hours per night.
The children wore the adhesive strip for an average of 8.9 hours per
day. The average treatment time was 5.5 months.

All the parents of children treated with this method were satisfied
with the treatment (100 percent) and 35 (80 percent) reported good to
fair correction of their child's ears. Of the 44 children, 31 were
evaluated 10 months after completing the treatment, and the ears of 38
children (86 percent) maintained their corrected shape.”

“The authors write, "The described Auri method is easy to use and easy
to apply on the pinna [outer ear], and the parents themselves can
treat their children.”

News from the AMA
December 18, 2002

Sources:

Medem, Inc.
http://www.medem.com/medlb/article_detaillb.cfm?article_ID=ZZZXRM74U9D&sub_cat=2

American Medical Association Science News Updates
http://www.ama-assn.org/sci-pubs/sci-news/2002/snr1216.htm#ears

Web MD
http://my.webmd.com/content/Article/56/65880.htm

PubMed - indexed for MEDLINE
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12479722&dopt=Abstract



===============================================


What is the AuriMethod?
http://www.aurimethod.com/method.htm
http://www.aurimethod.com/history.htm


No age limit
Newborn babies, only 1 day old, can benefit from the treatment.
http://www.aurimethod.com/study.htm


The Auri•Method Starter Kit contains everything that you need to start
and maintain your treatment for 30 Days.
http://www.aurimethod.com/buy.htm


CONTACT INFORMATION:

European Headquarters
Auri•Clinic
Hold-an Vej 5 First Floor
2750 Ballerup
Denmark
Phone +45 70 22 99 92
e-mail: service@auriclinic.com
e-mail: doctors@auriclinic.com

http://www.aurimethod.com/company.htm


===============================================


Non Surgical Treatment for Prominent Ears
Matthew D. Mingrone, M.D.

“We are now offering the first nonsurgical treatment for prominent
ears in the United States. This treatment uses a device similar to a
retainer for the teeth worn nightly to create a natural fold in the
ear cartilage. Special adhesive tape is worn during the day which is
virtually invisible. Over a period of weeks the results are stable and
permanent. Patients of all ages benefit from this painless alternative
to surgery.”

Matthew D. Mingrone, M.D.
http://www.drmingrone.com/rejuvenation/procedures.html



===============================================


Search Criteria:

Non-surgical treatments for protruding ears in infants
Nonsurgical otoplasties in neonates and infants
"Auri method"
Studies “Non-surgical techniques” “protruding ears”


I hope this helps. Please take into consideration that answers and
comments provided on Google Answers are for informational purposes,
and are not intended to substitute informed professional medical
advice.


Best Regards,
Bobbie7-ga

Request for Answer Clarification by yanquiprin-ga on 03 Jul 2003 06:06 PDT
This has been very helpful.  Thank you.  I would like to find out
where in the New York City area I can find a doctor for consultation. 
Would that be another question to post (and another fee)?  I'd be more
than happy to post a secondary question and pay a fee.

Clarification of Answer by bobbie7-ga on 03 Jul 2003 07:07 PDT
Dear Yanquiprin,

I’m pleased that you found my research helpful.

In your clarification you are requesting additional information that
was not included in your original question. I would suggest that you
post a new question asking for this information. I hope that this is
not too inconvenient for you.

Sincerely,
Bobbie7-ga
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