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Pediatric Otoplasty and Auricular Molding
1Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Rutgers Cleft and Craniofacial Center, Rutgers-Robert Wood Johnson Medical School, 10 Plum Street, 5th Floor, New Brunswick, NJ 08901, USA.
Facial Plastic Surgery Clinics of North America
|November 19, 2023
Summary
Perinatal ear molding is increasingly used for auricular deformities. Evidence supporting breastfeeding
Area of Science:
- Plastic Surgery
- Pediatric Otolaryngology
- Neonatal Care
Background:
- Widespread use of commercial ear molding products has increased research.
- Perinatal intervention for auricular deformities is a growing area of interest.
- Hormonal mediation is the suspected rationale for perinatal ear molding.
Purpose of the Study:
- To review indications for perinatal intervention in ear deformities.
- To examine the optimal timing for ear molding or surgical otoplasty.
- To assess the evidence for breastfeeding's effect on intervention timing.
Main Methods:
- Literature review of auricular deformities and interventions.
- Analysis of studies on ear molding and surgical otoplasty.
- Evaluation of evidence regarding hormonal mediation and breastfeeding.
Main Results:
- Significant increase in literature on perinatal ear molding.
- Hormonal mediation is the likely rationale for ear molding.
- Evidence supporting breastfeeding prolonging the intervention window is unconvincing.
Conclusions:
- Ear molding and surgical otoplasty are effective interventions for auricular anomalies.
- Further research is needed to confirm the role of breastfeeding in intervention timing.
- Understanding optimal timing and indications is crucial for effective perinatal ear correction.

