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[Application of cochlear microphonics combined with otoacoustic emission in early differential and localization diagnosis of auditory neuropathy].

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[Congenital ear deformity screening and non-invasive correction effect analysis].

Y Tian1, F Wang1, J J Yu1

  • 1Department of Otorhinolaryngology, Zhuhai Maternal and Child Health Care Hospital, Zhuhai, 519999, China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|March 1, 2019
PubMed
Summary

Neonatal ear deformities are common. Early detection and correction, ideally within 7-14 days, improve outcomes and avoid unnecessary interventions. Auricular deformities do not appear to impact hearing.

Keywords:
newbornnon-invasive correctionauricular malformationhearing screening system

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Area of Science:

  • Neonatal care
  • Pediatric audiology
  • Medical screening

Background:

  • Auricular deformities in newborns require timely assessment.
  • Integrating external auricle examination with neonatal hearing screening can improve early detection.
  • Understanding the incidence and natural progression of ear deformities is crucial.

Purpose of the Study:

  • To synchronously screen external auricle deformities during neonatal hearing screening.
  • To track auricle deformity incidence, self-healing, correction rates, and complications.
  • To investigate the relationship between ear deformities and hearing loss in Zhuhai newborns.

Main Methods:

  • On-site examination of newborns for auricle deformities within 2 months.
  • Utilizing a neonatal disease screening system for registration and follow-up.
  • Employing short message notifications and photo uploading for monitoring.
  • Implementing non-invasive correction for persistent deformities at 14 days.

Main Results:

  • Out of 1,073 newborns (2,146 ears), 26 (37 ears) had malformed ears.
  • Corrective rates were 95% (<14 days), 90% (14-30 days), and 87% (31-60 days).
  • Complication rates were 50% (<14 days), 58% (14-30 days), and 69% (31-60 days).

Conclusions:

  • The incidence of neonatal auricular deformities is high.
  • Earlier correction of ear deformities yields better results.
  • Simultaneous screening prevents missed diagnoses and guides appropriate intervention timing.