Introduction: Repair of congenital ear abnormalities through ear molding entered medical literature during the early 1980’s. Literature supports success when initiated early, ideally within the first two weeks of life. Traditional ear molding techniques have resulted in varying success, depending on the severity and type of auricular deformity. Ear Molding systems, such as the EarWellTM and EarBuddiesTM, can have limitations due to cost, provider training, or availability of supplies.
Objectives: To evaluate the success of an advanced, “scalp-secured” newborn ear molding technique that utilizes readily available medical supplies found in an otolaryngology clinic.
Methods: A retrospective chart review of newborns ages 1-8 weeks who underwent ear molding in clinic was performed. Molding supplies include: 3 sizes of Steri stripsTM, Mastisol® liquid adhesive, DERMABOND® topical skin adhesive, silicone IV tubing, silicone putty and scissors. While holding the ear in correct anatomical position, the silicone tubing and putty are fixed into place using liquid adhesives and application of Steri stripsTM in a “fan” design secured to the scalp. Infants returned to clinic every 7-10 days for removal and reapplication of the ear mold for a total of 3-4 sessions.
Results: 65 infants were molded; 34 males, 31 females, with an average age 3-1/2 weeks at initiation of ear molding. Most common deformity was prominauris (n=20), followed by cartilage adhesion (n=12), other helical rim abnormalities (n=9), Stahl deformity (n=10), lop/cup (n=8), mixed deformities (n=2) and conchal bowl abnormalities (n=2). Conchal bowl abnormalities proved to be the most challenging. No cryptotia or microtia patients were included. Infants were re-molded every 7-10 days with average treatment time of 4 weeks. Parents were surveyed for level of satisfaction post molding. There were no patients with skin injury, skin ulcers, or pressure injury from this technique.
Conclusion: Advancements in conventional ear molding techniques with inexpensive and readily available supplies can lead to successful correction of mild and severe congenital ear abnormalities. Early initiation of molding, remolding every 7-10 days, and the “scalp secured fan” technique of taping resulted in excellent outcomes with no skin injury.