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Ear piercing is becoming increasingly popular especially among children and adolescents. Up to one third of patients experienced some form of complication after ear piercing. The documented complications range from benign superfic...
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Ear piercing is becoming increasingly popular especially among children and adolescents. Up to one third of patients experienced some form of complication after ear piercing. The documented complications range from benign superficial infection to hypertrophic and keloid scarring to life-threatening staphylococcal sepsis and hepatitis. Buried earring is one of the many complications of ear piercing. It usually occurs after several weeks of piercing especially if it is related to the inflammatory process after piercing. Its incidence is also related to the use of a spring-loaded ear-piercing gun. Buried earring can easily be missed in children presenting with ‘missing’ earring, especially among the unsuspecting plastic trainee. We report a case of double buried earrings in each earlobe in a child with history of ‘missing’ earrings. This case highlights the need for vigilance especially in managing our young patient with ‘missing’ earrings and the benefit of a simple anteroposterior-view radiographic study in suspicious cases.
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Objectives: Early splinting of neonatal ear deformities has been proven to be successful but the opportunity to splint is frequently missed due to lack of awareness amongst healthcare personnel. We aimed to develop a regional scre...
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Objectives: Early splinting of neonatal ear deformities has been proven to be successful but the opportunity to splint is frequently missed due to lack of awareness amongst healthcare personnel. We aimed to develop a regional screening service using neonatal hearing screeners and an information leaflet to allow for the early detection and treatment of such children. Methods: We created an information leaflet that was distributed by hearing screeners to all parents in Greater Glasgow at the time of the child's neonatal hearing assessment, with a contact number allowing parents to self refer. All neonates referred were seen at a dedicated clinic within a week and suitability for splints determined. We aimed to assess acceptability of the service, splinting result as rated by parents and otolaryngologist and also costs involved. Results: Over a 15 month period, 13,403 leaflets were distributed. 88 babies were referred (0.7%) and 54 were found suitable for splinting. 78% of parents rated the efficacy of splints as either excellent or very good and 96% said they would recommend the service to a friend. Median age at first review was 4 days. We found a weak but statistically significant correlation between age at first review and the surgeon rated outcome from splinting (Spearman's rho = -0.321, p=0.038), with those babies commencing treatment early generally having a better splinting result. We also found that age at first review correlated with duration of splinting required (Spearman's rho = 0.357, p=0.008), with younger babies generally requiring shorter splinting times. Cost analysis revealed a saving of ￡482.76 per child when comparing splint treatment to potential later corrective ear surgery costs. Conclusions: Our screening service is both acceptable to parents and efficient in allowing for early correction of ear deformity in the majority of cases. By detecting treatable children early, we propose that the introduction of routine screening and splinting on a wider basis will avoid the psychological burden of ear deformity in childhood and also avoid the need for later corrective surgery.
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Introduction: Cryptotia is characterized by an absence of the upper part of the temporoauricular sulcus with the superior third of the auricle buried under the temporal skin. The principle of correction of cryptotia is to achieve ...
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Introduction: Cryptotia is characterized by an absence of the upper part of the temporoauricular sulcus with the superior third of the auricle buried under the temporal skin. The principle of correction of cryptotia is to achieve both a functional and aesthetic ear.
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摘要 :
Ear piercing is becoming increasingly popular especially among children and adolescents. Up to one third of patients experienced some form of complication after ear piercing. The documented complications range from benign superfic...
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Ear piercing is becoming increasingly popular especially among children and adolescents. Up to one third of patients experienced some form of complication after ear piercing. The documented complications range from benign superficial infection to hypertrophic and keloid scarring to life-threatening staphylococcal sepsis and hepatitis. Buried earring is one of the many complications of ear piercing. It usually occurs after several weeks of piercing especially if it is related to the inflammatory process after piercing. Its incidence is also related to the use of a spring-loaded ear-piercing gun. Buried earring can easily be missed in children presenting with 'missing' earring, especially among the unsuspecting plastic trainee. We report a case of double buried earrings in each earlobe in a child with history of 'missing' earrings. This case highlights the need for vigilance especially in managing our young patient with 'missing' earrings and the benefit of a simple anteroposterior-view radiographic study in suspicious cases.
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Objective: To introduce a Mayo Clinic pilot study in which newborn hearing screeners are trained to identify congenital auricular deformities, allowing for non-surgical correction with a simple splint initiated in the immediate ne...
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Objective: To introduce a Mayo Clinic pilot study in which newborn hearing screeners are trained to identify congenital auricular deformities, allowing for non-surgical correction with a simple splint initiated in the immediate neonatal period. Methods: Newborn hearing screeners received education on evaluation of congenital auricular deformities. Ten infants with 19 affected ears amenable to treatment with a simple splint were enrolled between June 15 and December 10, 2009. Splinting was initiated prior to the infant's discharge from the hospital. Results: Congenital auricular deformities amenable to correction with splinting included cup ear, Stahl's ear, and prominent ear. All ears were assessed by physical examination and photographic documentation prior to splinting and at follow-up visits. All exhibited improvement from the original deformity after 1-4 weeks of splinting. There were no instances of skin irritation or breakdown. Conclusion: Splinting therapy of congenital auricular deformities is very effective when initiated within the first 3 days of life while cartilage is quite malleable. Newborn hearing screening is performed within 24-48. h of birth and is an ideal opportunity to identify auricular deformities. This pilot study shows that early identification of auricular deformities by properly educated newborn hearing screeners is feasible, allowing for successful initiation of splinting therapy.
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The incidence of congenital ear deformities has been documented to be as high as 58% of all newborns. Unfortunately, the majority of these deformations do not spontaneously self-correct, leaving the child with a permanent deformit...
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The incidence of congenital ear deformities has been documented to be as high as 58% of all newborns. Unfortunately, the majority of these deformations do not spontaneously self-correct, leaving the child with a permanent deformity that can only be corrected through surgery. With the evolving simplicity of ear molding that can be done in the office, this can obviate the need for unnecessary surgery that comes with its own set of complications and a higher cost. Early detection and early treatment is key for successful ear molding. The purpose of this article is to review the types of deformational ear deformities and the most up-to-date literature on ear molding, increase awareness to this topic, and ultimately increase patient and parental satisfaction with their overall care.
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The growing interest in the auricular anatomy is due to two different strands of research: 1) in the medical field it is associated with autologous ear reconstruction, a surgery adopted following trauma or congenital malformations...
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The growing interest in the auricular anatomy is due to two different strands of research: 1) in the medical field it is associated with autologous ear reconstruction, a surgery adopted following trauma or congenital malformations; 2) in surveillance and law enforcement the ear is used for human detection and recognition. Alternative systems of ear analysis can be differentiated for the type of input data (two-dimensional, three-dimensional or both), for the type of acquisition tools (3D scanner, photographs, video surveillance, etc.) and finally for the adopted algorithms. Although the segmentation and recognition of the ear from the face is a widely discussed topic in literature, the detection and recognition of individual anatomical elements has not yet been studied in depth. To this end, this work lays the foundation for the identification of the auricular elements through image processing algorithms. The proposed algorithm automatically identifies the contours of the main anatomical elements by processing depth map images. The algorithm was tested qualitatively and quantitatively on a dataset composed of 150 ears. The qualitative evaluation was performed with the collaboration of medical staff and the quantitative tests were performed using manually annotated ground truth data.
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Among the less common congenital auricular anomalies are cryptotia, Stahl ear, constricted ear, and macrotia. The vast majority of these occur spontaneously without accompanying syndromes or other deformities. This article provide...
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Among the less common congenital auricular anomalies are cryptotia, Stahl ear, constricted ear, and macrotia. The vast majority of these occur spontaneously without accompanying syndromes or other deformities. This article provides a comprehensive overview of these anomalies, as well as common techniques to correct these anomalies.
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Summary This is a review of 249 patients who have suffered ear trauma and who have presented for reconstruction over the last eighteen years. All were born with normal ears and had lost one or both ears or a major segment of the e...
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Summary This is a review of 249 patients who have suffered ear trauma and who have presented for reconstruction over the last eighteen years. All were born with normal ears and had lost one or both ears or a major segment of the ear. Congenital ear problems including microtia are not included.The ear is mostly a decorative structure of intricate cartilage folds covered by skin. Loss of an ear, in whole or in part, can cause psychological distress out of all proportion to its size. Some develop serious behaviour problems and mood swings. Autogenous ear reconstruction is worthwhile only if great attention is paid to fine detail.
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Summary This is a review of 249 patients who have suffered ear trauma and who have presented for reconstruction over the last eighteen years. All were born with normal ears and had lost one or both ears or a major segment of the e...
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Summary This is a review of 249 patients who have suffered ear trauma and who have presented for reconstruction over the last eighteen years. All were born with normal ears and had lost one or both ears or a major segment of the ear. Congenital ear problems including microtia are not included.The ear is mostly a decorative structure of intricate cartilage folds covered by skin. Loss of an ear, in whole or in part, can cause psychological distress out of all proportion to its size. Some develop serious behaviour problems and mood swings. Autogenous ear reconstruction is worthwhile only if great attention is paid to fine detail.
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