000			03295nam a22003857a 4500
008			220706s20222022 xxu||||| |||| 00| 0 eng d
022			_a0032-1052
024			_a00006534-990000000-00882 [pii]
024			_a10.1097/PRS.0000000000009335 [doi]
040			_aOvid MEDLINE(R)
099			_a35671454
245			_aEvolution of Anomaly-Specific Techniques in Infant Ear Molding: A Ten-Year Retrospective Study.
251			_aPlastic & Reconstructive Surgery. 2022 Jun 08
252			_aPlast Reconstr Surg. 2022 Jun 08
253			_aPlastic and reconstructive surgery
260			_c2022
260			_fFY2022
260			_p2022 Jun 08
265			_saheadofprint
266			_d2022-07-06
520			_aBACKGROUND: Congenital ear anomalies occur in at least one-third of the population, and less than one-third of cases self-correct. Ear molding is a nonoperative alternative to surgery that spares operative morbidity and allows for significantly earlier intervention. In this retrospective study, the senior author developed a tailored approach to each specific type of ear deformity. The use of modifications to adapt standard ear molding techniques for each unique ear are described.
520			_aCONCLUSIONS: Presentation of ear anomalies is heterogenous. This ten-year experience demonstrates that the approach to ear molding should be dynamic and customized, using techniques beyond those listed in system manuals to complement each ear and to improve outcomes. Copyright © 2022 by the American Society of Plastic Surgeons.
520			_aMETHODS: The authors conducted a retrospective, institutional review board-approved study of 246 patients who underwent ear molding by a single surgeon. The procedure reports for each case were reviewed to develop step-wise customization protocols for existing EarWellTM and InfantEarTM systems.
520			_aRESULTS: This review included 385 ears in 246 patients. Patient age at presentation ranged from less than 1 week to 22 weeks. Presenting ear deformities were subclassified into mixed (37.4%), helical rim (28.5%), prominent (10.6%), lidding/lop (9.3%), Stahl's ear (3.6%), conchal crus (3.3%), and cupping (2.8%). Two patients (0.8%) had cryptotia. Deformity subclass could not be obtained for 11 patients (4.5%). Recommended modifications to existing ear correction systems are deformity-specific: cotton tip applicator (CTA)/setting material (Stahl's ear), custom dental compound mold (lidding/lop and cupping), scaphal wire (helical rim), CTA/protrusion excision (prominent), and custom dental compound stent (conchal crus).
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aPlastic Surgery Residency
657			_aJournal Article
700			_aCharipova, Karina _bMedStar Georgetown University Hospital/MedStar Washington Hospital Center _cPlastic Surgery Residency
700			_aRogers, Ashley _bMedStar Georgetown University Hospital/MedStar Washington Hospital Center _cPlastic Surgery Residency
790			_aBaker SB, Barra C, Charipova K, Rogers A
856			_uhttps://dx.doi.org/10.1097/PRS.0000000000009335 _zhttps://dx.doi.org/10.1097/PRS.0000000000009335
942			_cART _dArticle
999			_c483 _d483