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

Objective:To synchronously perform external auricle examination during neonatal hearing screening, follow up auricle deformity with neonatal disease screening system, and calculate the incidence of auricle deformity, self-healing rate, correction rate, incidence of complications and the relationship with hearing loss in Zhuhai area. Method:According to the diagnostic criteria of auricle deformity, the newborns in Zhuhai Maternal and Child Health Hospital were examined on the spot within 2 months. The deformity auricle was registered and uploaded into the newborn hearing screening system. The newborns were followed up by short message notification 7 days after birth, and then compared with the photo uploading system again. At 14 days, the ears of those who could not self-heal were went on non-invasive correction, and collect of relevant data for summary analysis. Result:Among the 1 073 newborns(2 146 ears), 26(37 ears) with malformed ears were treated with auricular pattern correction.The corrective rates of newborns less than 14 days, 14-30 days and 31-60 days were 95%, 90% and 87% respectively, and the incidence of complications were 50%, 58% and 69%, respectively. Conclusion:The incidence of auricular deformities in neonates is high. The earlier correction the better. The ear deformity can be detected at the earliest stage and missed diagnosis can be avoided by simultaneous hearing screening and ear deformity screening. During the window period of 7-14 d, by monitoring the self-healing rate of the affected ear excessive medical correction can be avoided. By hearing screening system statistics, ear shape malformation is not directly related to hearing loss.目的：在新生儿听力筛查时同步进行外耳廓检查，利用新生儿疾病筛查系统进行耳廓畸形跟踪随访，并统计珠海地区新生儿耳廓畸形的发生率、自愈率、矫正率、并发症发生率及与听力损失的关系。方法：根据耳廓畸形诊断标准，对珠海市妇幼保健院2个月内新生儿进行实地检查，对畸形耳拍照登记并上传录入新生儿听力筛查系统，于出生后7 d进行短信通知随访，并再次拍照上传系统对比，14 d时对无法自愈者进行耳廓无创矫正，收集相关数据进行汇总分析。结果：1 073例新生儿（2 146耳）中，26例（37耳）畸形耳自愈不佳者进行耳模矫正治疗，＜14 d、14~30 d、31~60 d的新生儿矫正率分别为95%、90%和87%，并发症发生率分别为50%、58%和69%。结论：新生儿耳廓畸形发生率较高，越早矫正效果越好。在听力筛查同时对耳廓畸形做出同步排查，可在最早期发现患耳、避免漏诊。新生儿在7~14 d的窗口期观察患耳自愈率，可避免过度医疗矫正。经过听力筛查系统数据统计，耳廓形态畸形与听力损失无直接相关。.