title: Classification of Newborn Ear Malformations and their Treatment with the EarWell Infant Ear Correction System.
abstract: BACKGROUND
  A single practice's treatment protocol and outcomes following molding therapy on newborn ear deformations and malformations with the EarWell Infant Ear Correction System were reviewed. A classification system for grading the severity of constricted ear malformations was created on the basis of anatomical findings.
  
  
  METHODS
  A retrospective chart/photograph review of a consecutive series of infants treated with the EarWell System from 2011 to 2014 was undertaken. The infants were placed in either deformation or malformation groups. Three classes of malformation were identified. Data regarding treatment induction, duration of treatment, and quality of outcome were collected for all study patients.
  
  
  RESULTS
  One hundred seventy-five infant ear malformations and 303 infant ear deformities were treated with the EarWell System. The average age at initiation of treatment was 12 days; the mean duration of treatment was 37 days. An average of six office visits was required. Treated malformations included constricted ears [172 ears (98 percent)] and cryptotia [three ears (2 percent)]. Cup ear (34 ears) was considered a constricted malformation, in contrast to the prominent ear deformity. Constricted ears were assigned to one of three classes, with each subsequent class indicating increasing severity: class I, 77 ears (45 percent); class II, 81 ears (47 percent); and class III, 14 ears (8 percent). Molding therapy with the EarWell System reduced the severity by an average of 1.2 points (p < 0.01). Complications included minor superficial excoriations and abrasions.
  
  
  CONCLUSIONS
  The EarWell System was shown to be effective in eliminating or reducing the need for surgery in all but the most severe malformations.
  
  
  METHODS
  Therapeutic, IV.
authors.affiliation: Dallas, Texas.|From Pediatric Plastic Surgery Institute.
authors.forename: Lily N
authors.initials: LN
authors.lastname: Daniali
authors.affiliation: Dallas, Texas.|From Pediatric Plastic Surgery Institute.
authors.forename: Kameron
authors.initials: K
authors.lastname: Rezzadeh
authors.affiliation: Dallas, Texas.|From Pediatric Plastic Surgery Institute.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Shell
authors.affiliation: Dallas, Texas.|From Pediatric Plastic Surgery Institute.
authors.forename: Matthew
authors.initials: M
authors.lastname: Trovato
authors.affiliation: Dallas, Texas.|From Pediatric Plastic Surgery Institute.
authors.forename: Richard
authors.initials: R
authors.lastname: Ha
authors.affiliation: Dallas, Texas.|From Pediatric Plastic Surgery Institute.
authors.forename: H Steve
authors.initials: HS
authors.lastname: Byrd
mesh_terms: D000013:Congenital Abnormalities / Q000145:classification / Q000601:surgery; D004431:Ear, External / Q000002:abnormalities*; D006801:Humans; D007231:Infant, Newborn; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods*; D012189:Retrospective Studies