A longitudinal study of changes of congenital auricular deformity regarding self-correction

Minsik Kim1, Hyun-Min Lee1, Sung-Won Choi2

  • 1Department of Otorhinolaryngology-Head and Neck Surgery and Biomedical Research Institute, Yangsan Pusan National University Hospital, Yangsan, Republic of Korea.

Insights

Congenital auricular deformities affect many newborns, with male sex being a risk factor. While about 50% self-correct within a year, specific types like prominent or cup ears may require intervention.

Area of Science:

  • Pediatrics
  • Plastic Surgery
  • Otolaryngology

Background:

  • Congenital auricular deformities are common birth defects.
  • Understanding their prevalence and natural correction is crucial for management.

Purpose of the Study:

  • To identify factors associated with congenital auricular deformities.
  • To evaluate the long-term self-correction rate of these deformities.
  • To assess the impact of deformity type on prognosis.

Main Methods:

  • Digital imaging classified auricle shapes in 90 newborns at birth and 1 year.
  • Birth-related factors were analyzed.
  • Longitudinal follow-up assessed changes in deformity type and self-correction.

Main Results:

  • 139 of 180 ears had deformities; helix rim (47) and cup ear (33) were most common.
  • Male sex showed a significant association with deformity.
  • Approximately 50% self-correction rate observed over 12 months.
  • Prominent and cup ears showed significant decreases, suggesting potential for intervention.

Conclusions:

  • Congenital auricular deformities are prevalent, with male infants at higher risk.
  • Self-correction rates vary by deformity type, with some types showing limited natural improvement.
  • Early intervention, like auricle molding, may be beneficial for persistent deformities such as prominent and cup ears.

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